tag:blogger.com,1999:blog-22339024358892767772024-02-07T01:18:13.993-08:00LA12 Foundationla12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comBlogger143125tag:blogger.com,1999:blog-2233902435889276777.post-1826040155834827212016-02-07T08:01:00.000-08:002016-02-07T08:01:13.745-08:00NOCSAE Advances First Chest Protector Standard to Address Sudden Cardiac Death<!--[if gte mso 9]><xml>
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NOCSAE Advances First Chest Protector Standard to Address
Sudden Cardiac Death OVERLAND PARK, Kan., Feb. 2, 2016 /PRNewswire/ -- The
National Operating Committee on Standards for Athletic Equipment (NOCSAE)
discussed a number of topics to advance athletic equipment safety at its
standards meeting in Phoenix on January 29, including introducing the world's
first chest protector performance standard for commotio cordis, and advancing
football helmet standards to address concussion risks and youth provisions. </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
World's First Chest Protector Performance Standard for
Commotio Cordis</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
NOCSAE introduced the world's first performance standard
for chest protectors for commotio cordis and moved it to proposed status at
NOCSAE's standards meeting on January 29.</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
Commotio cordis, a heart rhythm disruption caused by a
blow to the chest, is one of the leading causes of sudden cardiac death in
athletes. In conjunction with research efforts by the Louis J. Acompora
Memorial Foundation, NOCSAE has funded more than $1.1 million in research to
help identify the specific cause of commotio cordis and to develop a chest
protector standard designed to significantly reduce the likelihood of
occurrence. The new NOCSAE standard applies to baseball and lacrosse, where
catchers and goalies are typically the most vulnerable to commotio cordis.
Approximately five to 15 athletes die every year from this syndrome. Most of
these deaths are males under the age of 14 who are often wearing chest
protection. </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
"This is an unprecedented breakthrough in sports
protection," said Mike Oliver, NOCSAE Executive Director.<span style="mso-spacerun: yes;"> </span>"Scientists have pinpointed the exact
cause of commotio cordis, including the critical moment of occurrence in the
cardiac cycle and the required threshold to prevent the injury. These findings
have allowed us to create a chest protector standard that will significantly
reduce, if not eliminate, the risk of commotio cordis." </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
The NOCSAE board of directors voted to advance the chest
protector standard for commotio cordis to proposed status, meaning the standard
will remain open for public comment until January 2017, at which time it will
be eligible to be voted on as a final standard unless modifications are
recommended.</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
Football Helmets: Pneumatic Ram Test Standard and Youth
Provisions</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
During the January 2016 meeting, the NOCSAE Standards
Committee Consensus Body voted to move its proposed pneumatic ram test standard
to final status. This standard includes new tests that create and measure
rotational accelerations, a crucial first step in improving the ability of
helmets to address the risk of concussion. </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
NOCSAE is working to revise its football helmet standard
to incorporate the pneumatic ram test for rotational accelerations. NOCSAE
received significant public comment on the existing proposed changes to the
football helmet standard. In response, a new proposed football helmet standard
was approved at the January 2016 meeting. The new proposed football helmet
standard incorporates rotational accelerations in the pass/fail specifications,
and includes provisions for adjusted pneumatic ram impact velocities for
helmets that manufacturers label as youth helmets. </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
Implementation of Third-Party Certification </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
In January 2015, NOCSAE began requiring ISO/IEC 17065
accredited third-party certification for athletic equipment to meet NOCSAE
standards. Under this requirement, a manufacturer contracts with an independent
certifying body, Safety Equipment Institute ("SEI"), to audit their
procedures and quality programs, and test, validate and certify their athletic
equipment to meet NOCSAE standards. Over the course of 2015, the transition to
third-party certification was staggered based on manufacturers' sport-specific
production seasons for equipment. As of February 1, 2016, all third-party
certification for athletic equipment has been implemented. </div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
"Implementing the third-party certification process
in a year is a testament to the integrity of NOCSAE's standards," said
Oliver. "Now, all manufacturers are using an independent body to ensure
they're meeting the highest safety standards for their athletic
equipment."</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
Other Standard Developments</div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
NOCSAE voted to move several proposed standards to final
status, including standards for field hockey headgear and balls, and revisions
to NOCSAE's corrosion testing standard. Additionally, a proposed lacrosse
headgear standard is now available for review at <a href="http://www.nocsae.org/">www.nocsae.org</a>.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoPlainText">
<br /></div>
<div class="MsoPlainText">
About NOCSAE</div>
<div class="MsoPlainText">
NOCSAE, the National Operating Committee on Standards for
Athletic Equipment, is an independent and nonprofit standard-setting body with
the sole mission to enhance athletic safety through scientific research and the
creation of performance standards for protective equipment. Formed in 1969, NOCSAE
is a leading force in the effort to improve athletic equipment and, as a
result, reduce injuries. NOCSAE efforts include the development of performance
and test standards for football helmets, gloves and facemasks, baseball and
softball batter's and catcher's helmets, baseballs and softballs, ice hockey
helmets, soccer shin guards, lacrosse helmets and facemasks, and polo helmets.
NOCSAE is comprised of a board of directors representing stakeholders from a
number of groups - including consumer and end users, equipment manufacturers
and reconditioners, athletic trainers, coaches, equipment managers, and
academic and sports medicine associations. These diverse interests have joined
forces in an attempt to arrive at a common goal of reducing sports-related
injuries. NOCSAE is a nonprofit, charitable organization supported by
individuals and organizations with an interest in athletics. For more
information, please visit <a href="http://www.nocsae.org/">www.nocsae.org</a>. </div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-54696224081826351472015-09-24T09:06:00.001-07:002015-09-24T13:19:42.564-07:00CPR in NY Schools Passes<br />
<span style="font-family: "Arial",sans-serif; mso-bidi-font-size: 12.0pt;">
<br />
</span><div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-size: 12.0pt;">
September 2015</span></div>
<span style="font-family: "Arial",sans-serif; mso-bidi-font-size: 12.0pt;">
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
To:
BOCES District Superintendents </div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
Superintendents of
Public Schools </div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
Principals of Public
and Non-Public Schools</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
Charter School
Leaders</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
From:
Mary
Cahill</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
Subject:
Commissioner’s Regulations to
Require Instruction in Cardiopulmonary Resuscitation and the use of Automated
External Defibrillators</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
At the June
meeting, the Board of Regents approved an amendment of the Commissioner’s
regulations to require hands-only instruction in cardiopulmonary resuscitation
(CPR) and instruction in the use of automated external defibrillators (AEDs) in
senior high schools. During the June meeting it was anticipated that the
proposed amendment would be presented for adoption at the September 16-17, 2015
Regents meeting, after publication of a Notice of Proposed Rule Making in the
State Register and expiration of the 45-day public comment period prescribed
for State agency rule makings. At the September meeting, the amendment was
approved and will take effect on October 7, 2015.</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
The regulation
states that students in senior high school must be provided instruction in
hands-only cardiopulmonary resuscitation and the use of an automated external
defibrillator. The standards for this instruction should be based on a
nationally recognized instructional program that utilizes the most current
guidelines issued by the American Heart Association or equivalent
organization. The instruction should be designed to:</div>
<br />
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
1. have students
recognize the signs of a possible cardiac arrest and to call 911, </div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
2. provide an
opportunity to demonstrate compressions necessary to perform
hands-only CPR, and</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
3. provide an
awareness in the use of the AED.</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
The American Heart
Association and the American Red Cross have established a program for
instruction in CPR and awareness in the use of AEDs that can be delivered in
one or two class periods. The instruction provided pursuant to Education Law
§804-a, the instruction of hands-only CPR, does not require the instructor to
be an authorized CPR/AED instructor because such hands-only instruction will
not result in a course completion card. To meet this requirement, schools may
choose from a variety of low cost and no-cost options that provide hands-only
CPR instruction.</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
Pursuant to the
provisions of Education Law §804-c and 804-d, where approved by local school
boards, school districts may continue to offer comprehensive CPR certification
instruction at their discretion. However, in cases where districts do not offer
such a course, all high school students will be required to receive instruction
in hands-only CPR and the use of AEDs.</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
The American Heart
Association provides numerous resources to help districts implement hands-only
CPR and AED instruction. These resources are available at <a href="https://yourethecure.org/aha/advocacy/details.aspx?BlogId=2&PostId=4139">https://yourethecure.org/aha/advocacy/details.aspx?BlogId=2&PostId=4139</a>.</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
</div>
<br />
<div style="font-family: Calibri; font-size: 11pt; margin: 0in;">
If you have any
questions concerning hands-only instruction in CPR and AED in senior high
school, please contact the Office of Curriculum and Instruction by email at <span style="background: white; color: blue;">emscurric@nysed.gov</span> or by phone at
518-474-5922.</div>
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Melinda Murray, Karen Acompora, Suzy McCarthy, Annette Adamczak attending regulation adoption in Albany Sept. 17, 2015<br />
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la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-60019398133412075812015-06-02T09:36:00.003-07:002015-06-02T09:36:16.831-07:00An Errant Pitch,Then Nothing<h1>
Op-Ed: An Errant Pitch, Then Nothing</h1>
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By Tad Crawford<br />
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Published May 26, 2015 at 11:00 am (Updated May 25, 2015) </div>
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By the middle of the afternoon, the rain turned to heavy downpours and I doubted the 4 p.m. high school baseball game could even be played. If I knew what was about to happen, I would have been happy for a postponement. As an assistant coach for the School of the Future team, I never imagined that death might visit the field of dreams.<br />
The umpires, seeing light gleaming in the corners of the cloud-covered sky, started the contest between Future and the Institute for Collaborative Education right on time. Surprisingly, by 4:30 the clouds had vanished and a golden sunlight poured over the North Meadow in Central Park. All of the other fields were empty, the games postponed, so we had the vast expanse of green to ourselves.<br />
A tense game unfolded, a pitching duel with neither our right hander nor the Institute’s left hander giving any ground. After four innings, the teams were locked in a scoreless tie. In the top of the fifth inning, our pitcher gave up a single to the first batter. Then an errant pitch hit the next batter in the chest, which should have put runners on first and second with no outs.<br />
But the Institute’s batter never reached first base. Instead, he took four or five steps and collapsed. For a few moments no one understood what had happened. Then the head coaches, Chris McCloud for Future and Mark Mazzone for the Institute, ran to the boy’s side and turned him face up. He had no pulse. He was in cardiac arrest.<br />
Calling for the AED (automatic external defibrillator), the two coaches immediately began to try and save the player’s life. I called 911, begging the police operator to rush an ambulance to the scene. Within two minutes of his collapse, a life-saving shock from the AED brought back his pulse. Chest compression and mouth-to-mouth resuscitation were used as the coaches and players pleaded with the boy to stay with them. <br />
After another minute or two, he regained consciousness. He couldn’t see. He asked where he was. He sat up and wanted to rise. His sight returned, but he was still unaware of what had just happened. <br />
I believe the ambulance arrived within six minutes, but it might have been ten. By that time the boy had returned to himself and to the rest of us. Strapped to a stretcher, he was taken by ambulance to the closest hospital—Mount Sinai.<br />
When the ambulance had gone, the coaches gathered the two teams on the field to offer words of comfort. Coach McCloud spoke of the delicacy of life, how “one moment we’re playing a baseball game and in the very next moment we’re saving a life.” He also told the teams to consider getting CPR/AED certified as adults as there aren’t many adults who are and they had all just witnessed the benefits of having that training. “You never know when a moment like this may call upon you. Be ready.”<br />
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Together, we bowed our heads in a silent prayer.<br />
Two days later Coach McCloud, our pitcher, and another teammate visited the player at Mount Sinai. Numerous tests had been done. He was well and likely to have no long-term damage from the cardiac arrest. But the long life ahead of him was made possible by several factors. Public School Athletic League rules require that both teams have an AED on the field before any game is allowed to begin. Both coaches must be trained in CPR, including use of the AED. These safety rules, along with the coaches’ ability to use their training immediately after the player fell, saved his life.<br />
A week later, the teams from Future and the Institute happened to play on adjacent fields. After the games ended, the teams came together. The player who had been hit by the baseball was in uniform, although he hadn’t played in the game. He was greeted like an old friend. He assured us that he was fine.<br />
Not long after that, the teams met to finish their suspended game. On the pitcher’s mound was the young man whose pitch had nearly taken a life. On first base, ready to run, was the player who survived the stopping of his heart. On this field of dreams, the resumed game echoed and celebrated the miraculous resumption of the life of the youth extending his lead off first base.<br />
Tad Crawford, the publisher for Allworth Press in New York City, is the author of many books, including A Floating Life: A Novel and The Secret Life of Money.<br />
- See more at: http://www.otdowntown.com/columnsop-ed/20150526/op-ed-an-errant-pitch-then-nothing/2#sthash.zkWrkufU.dpuf</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-86521726821988957012015-05-13T06:26:00.002-07:002015-05-13T06:26:14.077-07:00Long Island Teen Hit In Chest By Line Drive Grateful For AED Machine
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<b><span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">SHOREHAM, N.Y.(CBSNewYork) — </span></b><span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">A <a href="http://newyork.cbslocal.com/2015/05/10/teen-collapses-little-league-aed/"><span style="color: blue;">Long Island teenager who collapsed and went into
cardiac arrest</span></a> after getting hit in the chest by a line drive
over the weekend is now home and recovering after being revived by
an automated external defibrillator.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“It’s a miracle. Honestly, I feel like the luckiest
person alive,” said 15-year-old Jack Crowley.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">Crowley has scrapes on his face, but he’s not
complaining. He’s alive thanks to an AED and some quick thinking.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“Really dizzy, shortness of breath, and then I had to go
to my knees, I just couldn’t stand up,” Crowley recalled.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">He was pitching to his younger brother at a Rocky
Point batting cage on Saturday when he stepped out from behind the protective
screen for a second. That’s when a line drive hit him in the chest, Gusoff
reported.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">Jack stopped breathing. Onlookers tried CPR and his
parents feared the worst.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“I thought my son was dead,” said John Crowley.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“You feel like your child is dying in your arms, and you
know it’s happening. And I wasn’t going to let him go, I kept looking at him
because I thought he was leaving me,” said mom Nancy Crowley.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">That’s when an off-duty Suffolk County police sergeant
ran for a defibrillator in the field house.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">It delivered a shock and in moments, Jack had regained
consciousness and opened his eyes.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“Two to three minutes later, he was talking,”
said John Crowley. “I just can’t say enough to the heroes who were there,
who saved my son.”<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">The ninth-grade is now home from the hospital, benched
for six weeks but grateful for the machine that made all the difference.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“It saved my life and I think it should be on every
field,” Jack said.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">Jack’s mother credits another mother with this miraculous
save. A mother who lost her own son on a Long Island athletic field 15
years ago. The Louis Acompora Foundation has helped put thousands of AEDs
on fields everywhere.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">“That mother’s grief saved my child,” said Nancy Crowley.<o:p></o:p></span></div>
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<span lang="EN" style="font-family: "Times New Roman",serif; font-size: 12pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";">Now, Jack wants to become a doctor to pay it forward.<o:p></o:p></span></div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-73897143647893912212015-01-28T10:47:00.000-08:002015-01-28T10:47:06.111-08:00Officer saves adult male playing basketball at Camden HS<span style="color: #666666; font-family: "Verdana",sans-serif; font-size: 9pt; line-height: 107%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">On January 26, 2015, at
approximately 7:30 PM, a 48 year-old male was playing basketball at the Camden
High School gymnasium located at 55 Oswego Street in the Town of Camden. During
the basketball game, the male collapsed to the floor unconscious and stopped
breathing.<br />
<br />
Off-duty </span><b><span style="color: black; font-family: "Verdana",sans-serif; font-size: 9pt; line-height: 107%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Investigator Miles J. Robertson</span></b><span style="color: #666666; font-family: "Verdana",sans-serif; font-size: 9pt; line-height: 107%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">, who was playing in the same game, noticed the victim laying on the gym
floor and immediately began CPR and rescue breaths. The high school
football coach, <b>Mr. Aaron Fiorini</b>, noticed the commotion in the gym and
immediately ran to assist Investigator Robertson and brought the school’s AED
over to the victim. The AED was attached at which time a shock was advised and
administered, and again followed by continued CPR. After several minutes,
the victim began to breathe on his own and was able to talk as EMS personnel
from Camden Ambulance arrived at the scene.<br />
<br />
The victim stated that he did not realize what had occurred and had no
recollection of the event and was transported to St. Elizabeth Hospital in
Utica, NY.<br />
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Patrons at the gym along with EMS personnel all confirm that Mr. Fiorini and
Investigator Robertson’s actions, along with calm execution of their knowledge
and training for such events, saved the young man’s life.<br />
<br />
Investigator Robertson is a 13 year veteran of the State Police and is assigned
to SP Marcy in Troop D. In 2013, Inv. Robertson was the recipient of the
Troop D - Outstanding Trooper of the Year Award.</span><br />
<span style="color: #666666; font-family: "Verdana",sans-serif; font-size: 9pt; line-height: 107%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"></span><br />
<span style="color: #666666; font-family: "Verdana",sans-serif; font-size: 9pt; line-height: 107%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"></span>la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-48303876670860375412014-12-16T17:24:00.000-08:002014-12-16T17:24:20.189-08:00Blow to chest may trigger potentially dangerous heart rhythmby Tina Shelton<br />
Blow to chest may trigger potentially dangerous heart rhythm ECG reveals AF with irregular ventricular rhythm; B, enlarged insert from lead V1; C, follow-up ECG 3 days after presentation showing spontaneous resolution to normal sinus rhythm; D, enlarged insert from lead V1. A hard hit to the chest can cause an irregular heartbeat that may lead to death even days after the impact, according to an upcoming article in the journal Pediatrics, based on a case involving a 16-year-old Hawai`i football player. The case, and its diagnosis by a University of Hawai`i (UH) medical professor, likely will change the way physicians diagnose the potentially fatal complication, and suggests chest protection gear should be standard in sports. Pediatric Cardiologist Andras Bratincsak, MD, PhD, of the John A. Burns School of Medicine (JABSOM) and Kapi`olani Medical Center for Women and Children (Hawai`i Pacific Health), is the first physician to discover that blunt trauma to the chest can cause an arrhythmia in the atrial, or upper chamber, of the heart. While doctors knew such trauma could cause arrhythmia in the ventricle, or lower heart chamber, and even sudden death, they had not realized before the potentially lethal affect on the upper or atrial chamber of the heart. "It doesn't cause an immediate collapse on the field, but it can cause fatal consequences, including stroke, as long as four days afterward," said Dr. Bratincsak. "And that may be why we (in medicine) may not have recognized the link between a hit to the chest and atrial arrhythmia before." In the Hawai`i case that led to the new discovery, the football player felt some chest pain, complained of being "light-headed" and his heart rate was elevated. He left football practice and arrived about 25 minutes later at the emergency room of Kapi`olani Medical Center, a teaching hospital partner with the UH medical school. An EKG (electrocardiogram, which is a record or display of a person's heartbeat) was performed and evaluated by Dr. Bratincsak, who noted an irregular heartbeat of an average 70 to 80 beats per minute. "The secondary complications, such as stroke, can be prevented if it's diagnosed quickly," said Dr. Bratincsak, and in the teen's case, it was. He was kept at the hospital for observation, and three days later, tests confirmed the arrhythmia resolved itself. One year later, a follow-up visit confirmed normal heart rhythm. "This definitely should be recognized as a possible danger in contact sports," advises Dr. Bratincsak. What action is recommended for athletes, parents, coaches and medical professionals? "Number one, athletes should be wearing protective gear for their chests, not just their heads," Dr. Bratincsak says. "Number two, if someone is hit on the chest by another player's helmet or chest, or hit by a baseball or martial arts strike, the athlete should have an appropriate evaluation by the coach, trainer or health aide immediately, including checking the pulse." The danger, he added, is too great to be ignored: "Any blunt chest trauma that doesn't relate in sudden ventricle arrhythmia can still result in atrial arrhythmia." It is possible, Dr. Bratincsak says, that sudden deaths or other unexplained cardiac deaths in individuals could be explained by this. "If arrhythmia is found in an otherwise healthy individual, we should now at least consider that it might be because they had a chest trauma, and we didn't know about it, because we (in medicine) never asked about it." A new rule in the emergency department from now on could just be, as Bratincsak puts it, "Where you see a-fib think about blunt chest trauma; when you have blunt chest trauma, think about a-fib." Dr. Bratincsak, who trained in JABSOM's Pediatrics Residency Program, wrote the paper with co-author Kyle Ota, a fourth-year JABSOM medical student who will receive his MD degree in May 2015. Their article, "Atrial Fibrillation Induced by Commotio Cordis Secondary to a Blunt Chest Trauma in a Teenage Boy," will be published in the January 1, 2015 issue of Pediatrics, the premiere journal of the American Academy of Pediatrics.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-62610021275462581742014-10-28T12:50:00.000-07:002014-10-28T12:50:08.661-07:00At Barry Park, a homecoming: Girl returns to visit soccer team - and coach who saved her life<!--[if !mso]>
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<b><span style="font-size: 24.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">At Barry Park, a homecoming: Girl
returns to visit soccer team - and coach who saved her life</span></b></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Jade
McKenney at Barry Park with Ted Straub, the Nottingham High School modified
soccer coach who saved Jade's life when she went into cardiac arrest. <i>(McKenney
family | Submitted photo)</i></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">The homecoming was at Barry
Park, bringing everything full circle. Coach Ted Straub was on the sidelines,
watching his Nottingham High School modified girls team compete with Central
Square in soccer, when he turned and saw one of his players approaching, in
street clothes.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">It was the first time
12-year-old Jade McKenney had been to the park since she'd left by ambulance in
September, after going into cardiac arrest.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">"Thanks, Coach,"
said Jade, who gave Straub a hug.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">For a minute, no one was
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<span style="mso-fareast-font-family: "Times New Roman";">"My starters were all
out on the field," said Straub, who'd also visited Jade in the hospital,
"and at the end of the first quarter they were so happy to see her I was
afraid they were going to trample her."</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">That was Oct. 16 -- exactly
36 days after Jade finished a routine day of classes at the Edward Smith School
and then went to Barry Park for soccer practice. Jade asked Straub if she could
run an extra lap to warm up, and the rest of the team had started on a drill
when a couple of players began screaming that Jade had collapsed.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Straub ran to her. Jade
wasn't breathing. She had no pulse. Straub, a physical education teacher at
McKinley-Brighton Elementary School, handed his cell phone to Priscilla
Fudesco, a 13-year-old team captain, and asked her to call 911.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Then he began performing <a href="http://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600"><span style="color: blue;">cardiopulmonary resuscitation</span></a> as he'd been
trained to do it:</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Straub got on his knees,
lined up his shoulders above his hands, placed one hand above the other and put
them on Jade's chest.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Thirty compressions. Two
breaths. Repeat.<br />
<a href="http://www.syracuse.com/kirst/index.ssf/2014/09/syracuse_teacher_saves_childs_life.html"><span style="color: blue;"><br />
That reaction, doctors would later say, saved Jade's life.</span></a></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">A fellow coach, Joe Horan,
ran to Straub's side. Two nurses who'd been driving past, Don Paradise and
Michele Gulla, stopped to help. Straub kept going. Three minutes after Fudesco
made her call, Lt. Paul Schaap and firefighter Steve Segur of the Syracuse Fire
Department arrived at the park. They gave Jade a shock with a defibrillator.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">The child responded with a
groan. She began struggling to breathe.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">By the next day, from the
hospital, she sent a message of support to her team - and an apology for
disrupting the practice.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Jade's mother, Diane Wright
McKenney, said specialists determined a valve had failed in Jade's heart. On
Oct. 3, doctors performed surgery on the child at Strong Memorial Hospital in
Rochester. They inserted a mechanical valve. They discovered her right coronary
artery had basically been inoperative, which is why she collapsed. By rerouting
the left artery, they solved the problem.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">"The doctor has been
saying (this surgery) is one and done," said Wright McKenney, who is
constantly aware of how difficult the entire struggle would be for anyone, much
less a 12-year-old: This is the second straight year, for instance, that Jade
will be curtailed for Halloween, always a special time for a child. A year ago
right now, Jade had a broken foot.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Yet in the long run, Wright
McKenney said, everything looks good: Within seven or eight months, Jade should
be ready to play again on the soccer field and cleared for ballet.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Most important, when she
takes the field for Straub next autumn, she'll be free of any medical concern
that what happened last month might happen again.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Those who love Jade never
forget what the doctors said after her collapse: In a case of cardiac arrest
far from medical help, survival hinges on an almost miraculous sequence of
reactions.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">Chief among them: someone
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<span style="mso-fareast-font-family: "Times New Roman";">Straub remains a little
stunned by the community response. He took a call from a man who said he saved
his wife by doing CPR in the same way he'd read that Straub did it. Fellow
coaches have told him they're looking into <a href="http://www.upstate.edu/emergency/education/emstat/courses/cpr_aed.php"><span style="color: blue;">refresher courses and more training,</span></a> to make sure
they'd know what to do in the same situation. <a href="http://www.heart.org/HEARTORG/Affiliate/Syracuse-Region-Home-Page_UCM_FDA114_AffiliatePage.jsp"><span style="color: blue;">American Heart Association</span></a> officials called to
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<span style="mso-fareast-font-family: "Times New Roman";">As for the soccer team, Jade
came to a couple of games and to a team party at the end of the season, where
she met Straub's wife, Stephanie, and their young daughters, Emily and Jocelyn.
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<span style="mso-fareast-font-family: "Times New Roman";">Out of appreciation, the
McKenneys -- David and Diane and daughters Jade and Jett -- presented Straub
with a one-night family package to a Syracuse University basketball game that a
neighbor had insisted on giving them, after their trial. The coach accepted
with one promise: He wants to bring Jade, as a guest.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">The modified team won a
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<span style="mso-fareast-font-family: "Times New Roman";">"The girls were there to
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<span style="mso-fareast-font-family: "Times New Roman";">Next year, Jade fully intends
to be a part of that again.</span></div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-29481159526630646332014-10-28T12:46:00.001-07:002014-10-28T12:46:19.560-07:00Miracle' at Barry Park: For Syracuse teacher at desperate moment, training saves a child's life<!--[if !mso]>
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<span style="mso-fareast-font-family: "Times New Roman";">With
a child's life in the balance, doctors say Ted Straub, a teacher and soccer
coach in Syracuse, did everything exactly right: He responded with emergency
CPR that's credited with saving 12-year-old Jade McKenney. <i>(Gary Walts |
gwalts@syracuse.com)</i></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://blog.syracuse.com/kirst/print.html?entry=/2014/09/syracuse_teacher_saves_childs_life.html" target="_blank"><span style="color: blue;"><br /></span></a> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">In his mind, Ted Straub heard
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<span style="mso-fareast-font-family: "Times New Roman";">He couldn't tell you which
instructor said it, or what session it came from. It was simply the imperative
driven home each time -- the one from all those cardiopulmonary resuscitation
trainings he'd gone to as a teacher, the CPR sessions in a classroom or a gym
or at the side of a pool.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">It was training he hoped to
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<span style="mso-fareast-font-family: "Times New Roman";">Lean down, get on your knees,
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<span style="mso-fareast-font-family: "Times New Roman";">All that came back to him on
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heartbeat was quiet on the ground, where there was no time for any fear about
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<span style="mso-fareast-font-family: "Times New Roman";">The command he remembered:
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<span style="mso-fareast-font-family: "Times New Roman";">Straub, 35, is a physical
education teacher at McKinley-Brighton Elementary School in Syracuse. He began
work this month at that full-time position. A few years ago, he left a career
in advertising to become a teacher. His old job involved promoting fast food.
He grew tired of it.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">"I wanted to do
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<span style="mso-fareast-font-family: "Times New Roman";">Along with teaching, he
coaches the girls modified soccer team from Nottingham High School, a team
consisting of more than 30 girls from city middle schools.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The children practice at the
park, where Straub arrived -- as he does each day -- on the afternoon of Sept.
10. Driving there, he planned on going through some basic drills, some
fundamentals. The girls, before they started, ran a few laps to get loose.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Jade McKenney, 12, went to
the coach with a request. Jade was born with a heart murmur. Her parents and
doctors provided forms giving her the OK to play soccer, but they also asked if
the child -- when needed -- could go at her own pace. As practice got started,
Jade asked to run a second lap, by herself, to thoroughly warm up.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub said that was fine. He
assembled the rest of his team in two lines, near the net. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">As he started a drill, he
heard players screaming.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Jade, on the other side of
the field, had collapsed.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Priscilla Fudesco, 13, a team
captain, noticed when Jade asked to run a lap alone, a choice Fudesco described
as unusual for girls in middle school: Typically, they like company. For a
reason Fudesco can't quite explain, she was uneasy about Jade.</span></div>
<div class="MsoNormal">
<span style="mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;"></span><span style="mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">When her friend didn't return
to the drill, Fudesco looked around the park.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">She saw Jade, motionless, on
the ground. Fudesco and a teammate, Cammie Nash, ran to her. Straub heard them
screaming:</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">"Jade! Jade! Jade!"</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The child was more than 100
yards from the practice. "I sprinted over ... I don't think I've ever run
so fast in my life ... and she was lying face down in the grass," Straub
said.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">"I tapped her on the
shoulder and shook her and knew right away something was seriously wrong. I
could tell by looking at her there was nothing there. I had to act fast. People
say to me: 'You must have been freaked out,' and they say they couldn't have
done the same thing.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">"But I tell you: You sit
through all these trainings, and when it happens, it clicks in."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Dr. Craig Byrum, a pediatric
cardiologist who treats Jade in Syracuse, describes the rescue as "a
miracle." Jade was in full cardiac arrest, he said. Coming back from that
condition demands, as he puts it, having "four or five stars in
place."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The first is the presence of
someone with CPR training, like Straub, "who did the thing that all of us
are supposed to know how to do."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The second and third stars
are simple -- but don't always line up: </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">You need a mobile phone, and
someone to make a perfect call.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub had a phone. He rolled
Jade over, then handed it to Fudesco, his young captain. He told her to call
911.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">"I was afraid,"
Fudesco said, "but I knew I had to stay calm to make sure Jade was
OK."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">She made the call and
answered the dispatcher's questions, while Straub followed the command locked
into his memory:</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Two breaths, 30 compressions.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub's challenge, Byrum
later explained, didn't involve trying to get Jade's heart beating again. His
job was to serve as what Byrum calls a bridge, to provide enough exterior force
to send blood coursing through her body -- especially to her brain -- until
emergency help arrived.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Through his hands, for those
few minutes, Straub kept the girl alive.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The brief space of time,
Straub said, seemed extended, never-ending. He continued to perform CPR as <a href="http://www.syracuse.com/news/index.ssf/2014/05/syracuse_phys_ed_teacher_asks_teen_boys_what_does_it_mean_to_be_a_man.html"><span style="color: blue;">Joe Horan</span></a>, coach of the modified boys team, came
to his side. Don Paradise and Michele Gulla -- nurses who happened to be driving
past -- saw him with Jade, stopped their car and did all they could to help.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub kept going as he heard
the sound of approaching sirens, as a 'mini' truck from nearby fire Engine Co.
10 pulled up, as firefighter Steve Segur and Lt. Paul Schaap hurried toward the
girl.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Paradise, a nurse, moved in
and took over CPR as Straub stepped back to give the firefighters room. Segur
made sure Jade had a clear airway, while Schaap applied stickers to her chest
that can carry a charge from a defibrillator.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Again, Byrum said, the stars
had to line up perfectly: All those people -- each one -- played critical
roles. By good luck, Schaap and Segur were stationed on East Genesee Street, a
short drive away. According to their records, the alarm went off at 3:45 p.m.
and they were at the park in three minutes. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">As for the defibrillator,
Byrum explained that a heart stops beating and often quivers during cardiac
arrest -- a condition known as ventricular fibrillation. The machine does a
reading and then answers this question:</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Does the wounded heart have
an electrical rhythm that can be restarted by a jolt?</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The answer isn't always yes.
In Jade's case, it was.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Schaap administered a shock.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">When it was finished, he
said, "she gave a little groan." Segur saw Jade try to take a breath.
He used a bag valve mask to help the girl inhale. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">A Rural/Metro ambulance took
Jade to the hospital, where she was soon in the company of her parents, David
and Diane Wright McKenney, and her sister Jett -- all of whom shifted from fear
into almost bottomless gratitude. Jade would awaken and start to regain her
strength. The next day, she sent her coach a message for the girls:</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">"Tell the team I'm sorry
I wasn't feeling well yesterday at practice."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The doctors told Jade's
family a valve had failed her heart, and they expect to replace it -- sometime
this fall -- at Strong Memorial Hospital in Rochester. Jade's mother said the
girl, understandably, isn't thrilled about the surgery.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Yet in the definition of
highest meaning, she is fine. Those who love her can't stop thinking, as Byrum
said, of how the stars aligned.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub had scant time, after
the ambulance left, to collect himself. Horan helped him to get his bearings,
reassure his team and calmly finish practice. Everyone -- the doctors and
firefighters and staff at the hospital -- say that when it mattered, Straub did
things exactly right.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Many people have stopped by
McKinley-Brighton to thank him, including Superintendent Sharon Contreras, who
described Straub and his fellow teachers as "unsung heroes."</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Straub insists he's not.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">He's a coach, he said, and a
child was in trouble, and it came down to all that training, drilled into his
head. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Still, no training could
prepare him for how it felt when he stopped at the hospital, and Jade greeted
him while she was resting in a chair.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">This time, when he reached
toward her, she reached out and hugged him back.</span></div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-34567377999918219552014-09-15T07:21:00.000-07:002014-09-15T07:21:00.899-07:00 North Merrick school nurse, lauded as lifesaver of stricken aide<h1>
Mari Titterton, North Merrick school nurse, lauded as lifesaver of stricken aide</h1>
<div class="date">
September 12, 2014
by AGATA MICHALAK
/ agata.michalak@newsday.com
</div>
<div class="image">
<img alt="Camp Avenue Elementary school nurse Mari Titterton at" class="" height="200" src="http://cdn.newsday.com/polopoly_fs/1.9300256.1410559819%21/httpImage/image.JPG_gen/derivatives/display_300/image.JPG" title="Camp Avenue Elementary school nurse Mari Titterton at..." width="300" />
<span class="caption">
</span></div>
North Merrick district
officials are praising the lifesaving efforts of an elementary school
nurse who sprang into action when a longtime aide collapsed Thursday
afternoon.<br />
Mari Titterton, 57,
was in her office at Camp Avenue Elementary School when faculty members
called for help about 1:40 p.m. She found the aide in a hallway on the
second floor -- unconscious, not breathing and without a pulse.<br />
Running behind her
was substitute nurse Susan Heaphy, carrying one of the school's two
Automated External Defibrillators, or AEDs.<br />
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Titterton's training kicked in.<br />
"You just go into autopilot," she said Friday. "You do what you have to do."<br />
Still emotional while
describing those intense moments, Titterton said she and Heaphy took
turns performing CPR. When the aide did not respond, Titterton applied
the AED pads to the woman's chest.<br />
"The AED shocked her,
and all of a sudden we felt a pulse," said Titterton, a North Merrick
resident who has been a school nurse for 13 years, six of those at Camp
Avenue Elementary.<br />
When emergency
medical technicians from the North Merrick Fire Department arrived,
district Superintendent David Feller said, the aide was conscious and
breathing. She was even speaking before EMTs took her to Nassau
University Medical Center in East Meadow, Titterton said.<br />
School officials
would not release the name of the stricken woman but said she is
recuperating. She has worked at the school for 16 years and lives
nearby, walking to and from her job, where her duties include watching
over students during lunch and recess.<br />
When students found
out she won't be back immediately, they asked, "Who's going to help us
play kickball?" Principal Ron Reinken said.<br />
"I am very proud of Mari," he said. "It's comforting to have people around you that can respond under such pressure."<br />
Titterton will be
honored at the district's Oct. 14 school board meeting, Feller said. The
fire department also plans to recognize her with a citation at an
upcoming meeting, he said.<br />
"I am remarkably proud of how quick our staff handled it," Feller said.<br />
Titterton was
CPR-certified by physical education teacher Karen Nolan, who also ran to
help, bringing the school's second AED. Faculty and students were told
to stay in their classrooms as Titterton, Heaphy, Nolan, Reinken and the
EMTs worked to stabilize the woman.<br />
"All I can say is, it's a miracle, on the day of 9/11," Titterton said.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-74662002078335655452014-07-28T08:56:00.000-07:002014-07-28T08:59:32.419-07:00Hoops Game Turns Life-and-Death<br />
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<h1>
Hoops Game Turns Life-and-Death</h1>
<div id="op-over-content">
</div>
<div class="deck">
For three of the <span class="ho9x3ku69l" id="ho9x3ku69l_2">heart attack</span> victim’s rescuers it was a case of déja vu</div>
<div class="section-date-author">
By <a content="Taylor K. Vecsey" href="http://easthamptonstar.com/author/Taylor-K-Vecsey" rel="foaf:publications">Taylor K. Vecsey</a> | <time content="2014-07-23T21:50:27-04:00" datetime="2014-07-23">July 23, 2014 - 9:50pm</time>
</div>
<div class="main-image">
<img alt="" class="imagecache imagecache-400xY" src="http://easthamptonstar.com/sites/default/files/imagecache/400xY/20140724_CardiacArrestSaveTKV.jpg" height="305" title="" width="400" /> <br />
<div class="main-image-desc image-desc">
Richard Hand, center, stopped by the Pierson middle school gym on Sunday
to thank fellow basketball players who had resuscitated him when he was
in <span class="ho9x3ku69l" id="ho9x3ku69l_3">cardiac arrest</span> just a week earlier.
<span class="main-image-credit image-credit">Taylor K. Vecsey</span>
</div>
</div>
<div>
Pierson Middle-High School in Sag
Harbor has an impressive record of students and staff trained in
cardiopulmonary resuscitation who have gone on to save others, but when a
man went into cardiac arrest while playing basketball on a Sunday
morning nearly two weeks ago and was resuscitated, it marked the first
save on school grounds.<br />
<br />
Richard Hand, a 52-year-old Sag Harbor resident, had been hitting
3-pointers all morning and was at the end of the fourth game, going in
for a rebound under the basket, when he suddenly collapsed.<br />
<br />
Rick Weissman of East Hampton was guarding him when he dropped to the
floor. “I thought he ran into somebody and fell and hit his head,” Mr.
Weissman said.<br />
<br />
Woody Kneeland, a Pierson coach who was playing that morning, and Mark
Tuthill, who was watching from the sidelines, reported seeing Mr. Hand’s
whole body go limp before he hit the floor. “It was like 100 <span class="ho9x3ku69l" id="ho9x3ku69l_4">degrees</span> in the gym — it could have been a million things. When he went into convulsions, I knew it was serious,” Mr. Kneeland said.<br />
<br />
Claude Beudert, an East Hampton High School teacher who has known Mr.
Hand for 25 years, called 911 at 10:06 a.m., initially telling
dispatchers they needed the <span class="ho9x3ku69l" id="ho9x3ku69l_5">ambulance</span> for a head injury from a fall.<br />
<br />
Other players, including Charlie Bateman, a former advanced emergency
medical technician with the Sag Harbor Volunteer Ambulance Corps, and
Dr. Alan Katz, an East Hampton <span class="ho9x3ku69l" id="ho9x3ku69l_6">dentist</span>, rushed to Mr. Hand’s side. His heart rate was erratic, and he was fighting for breaths, Dr. Katz said.<br />
<br />
“We thought maybe he was having a seizure. Within a minute or two we realized he was having a heart attack,” Mr. Bateman said.<br />
<br />
Mr. Bateman and Dr. Katz started CPR at a ratio of 30 compressions to 2
rescue breaths. Mr. Kneeland, who had been recertified in CPR just
three weeks earlier, and Mr. Tuthill, a personal trainer who knows CPR,
helped keep his airway open and later performed compressions as the
rescuers traded positions, as recommended under American Heart
Association guidelines. Mr. Beudert found an automated <span class="ho9x3ku69l" id="ho9x3ku69l_7">external defibrillator</span> at the entrance to the gym.<br />
<br />
“I’m looking down his body from his head to his feet and I just thought
this was it — this man is going to die,” Mr. Tuthill said.<br />
<br />
The rescuers ripped off Mr. Hand’s shirt, wiped the sweat from his chest, and placed the <span class="ho9x3ku69l" id="ho9x3ku69l_9">defibrillator</span>’s
pads in position. The portable electronic machine reads the heart’s
rhythms and will indicate that a shock is needed to establish a
life-sustaining beat only for patients with two types of
life-threatening cardiac <span class="ho9x3ku69l" id="ho9x3ku69l_8">arrhythmias</span>.
Mr. Hand was in ventricular fibrillation, an abnormal rhythm where the
heart cannot pump blood, and the shock was delivered within 24 seconds
after the device had been turned on, according to a report the A.E.D.
issued afterward.<br />
<br />
“All of a sudden, it looked like he had some life in him again,” Mr. Kneeland said.<br />
<br />
Mr. Weissman, who does not have <span class="ho9x3ku69l" id="ho9x3ku69l_10">CPR training</span>
and recalled standing off to the side praying, suddenly had a hunch
that the ambulance probably thought they were in the high school gym,
instead of the middle school gym. He ran outside to Division Street and
dialed 911 to redirect them.<br />
<br />
When the ambulance arrived at 10:11 a.m., Mr. Hand was already coming
to. As Mr. Weissman re-entered the gym with the emergency medical
technicians, he was shocked to see Mr. Hand’s chest and stomach moving
up and down very rapidly. “He was breathing. I couldn’t believe it — I
was amazed.”<br />
<br />
The Sag Harbor ambulance corps sent an <span class="ho9x3ku69l" id="ho9x3ku69l_12">electrocardiogram</span> of Mr. Hand’s heart to Suffolk County Medical Control at Stony Brook University <span class="ho9x3ku69l" id="ho9x3ku69l_11">Hospital</span>,
and a decision was made to airlift him to Stony Brook, which has a
catheterization laboratory. By the time the medevac helicopter landed at
the ball field next to the Bridgehampton Fire Department, Mr. Hand was
fully alert.<br />
<br />
Eddie Downes, the president of the ambulance corps, said Mr. Hand is
lucky to be alive. “It all came together like it was supposed to,” he
said, emphasizing the importance of early compressions and a quick
administration of a defibrillator.<br />
<br />
One week later, Mr. Hand was back in the gym, not lacing up his sneakers, but to thank those who saved his life.<br />
<br />
“Without the defibrillator, I wouldn’t be here,” he said, adding that the <span class="ho9x3ku69l" id="ho9x3ku69l_13">doctors</span>
told him, “ ‘You’re lucky those guys knew what they were doing.’ I was
out for six or seven minutes — that’s kind of the limit before you lose
brain function.”<br />
<br />
He doesn’t remember much of what happened. “I just remember we were
playing well; it was a tied score. I was just playing and I got a little
bit dizzy.” The next thing he could remember, he was being wheeled out
of the gym on the stretcher.<br />
<br />
Mr. Hand said he hadn’t had heart problems before. He was told the
cardiac arrest was caused by a problem with electrical impulses, and an
implantable cardioverter defibrillator was placed in his chest. Doctors
also found a blockage and inserted two stents. Despite all that, he was
back home on Tuesday, and he expects to be back on the basketball court
in six weeks.<br />
<br />
For some of the players it was an eerily familiar situation.<br />
<br />
Eleven years ago, Mr. Bateman, Mr. Beudert, and Dr. Katz were playing
basketball one Thursday evening at the East Hampton Middle School when
Dexter Grady, a 36-year-old night custodian who joined a game during his
break, dropped to the floor. They started life-saving measures,
including the use of an A.E.D. that had been put in the school only four
months earlier, just after it had become a New York State mandate. Mr.
Grady was resuscitated and is still working at the school today.<br />
<br />
“This was like déja vu,” said Mr. Bateman, who went on to become an E.M.T. after Mr. Grady was revived.<br />
<br />
Dr. Katz said he and Mr. Bateman were “lucky twice . . . Charlie and I
would be the first to admit it — lots of times CPR does not bring
anybody back.”<br />
<br />
Susan Denis, the health teacher at Pierson who is in charge of training
all 7th and 10th-grade students in the American Heart Association’s
Heartsave CPR A.E.D. course, taught the recertification class for
coaches, including Mr. Kneeland, and he was among about 30 others she
has taught who have gone on to save lives. This save was yet another
example, she said, of why it is so important to learn the lifesaving
skill and why <span class="ho9x3ku69l" id="ho9x3ku69l_1">more</span> automated external defibrillators should be in public places.<br />
<br />
“If we can shock you within the first minute, we’ve got a 90 to
95-percent chance of bringing you back. But by 10 minutes, there’s less
than a 5-percent chance,” she said.<br />
<br />
“The defibrillator is just a wonderful tool. Even if you’re panicking,
you’ll know how to use it,” said Mr. Beudert, who learned CPR and how to
use the A.E.D. through the East Hampton School District, where he
coaches golf and tennis.<br />
<br />
The whole incident is already inspiring people to be prepared. Mr.
Weissman said he wants to learn CPR now, and is even considering taking
an emergency medical technician course. Meanwhile, Mr. Tuthill, who said
he had never followed through with an idea to buy an A.E.D. for his
Martial Arts Center in East Hampton, went home that very night and
placed an order online for a model that cost $1,500.<br />
<br />
Mr. Hand, too, said he is going to learn CPR. He also hopes to spread
the word that having “a defibrillator in public places is incredibly
important, because I wouldn’t be here without one.”</div>
<img alt="" class="imagecache imagecache-600xY" src="http://easthamptonstar.com/sites/default/files/imagecache/600xY/IMG_0292.JPG" height="400" title="" width="600" />
Some of the players who were instrumental in saving Richard
Hand, center, when he went into cardiac arrest. From left, Woody
Kneeland, Charlie Bateman, Claude Beudert, Dr. Alan Katz, Mark Tuthill
and Rick Weissman.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-15389046103793133612014-03-23T06:58:00.002-07:002014-04-16T16:45:48.676-07:00Quick action by EMTs save Riverhead teacher's life at 'Crazy Sports Night' event<dl class="article-info"><dd class="published"><time datetime="2014-03-21T23:06:19-04:00">
Friday, March 21 2014 11:06 pm </time>
</dd><dd class="createdby">by Denise Civiletti </dd></dl>
<br />
Quick action by EMTs saved the life of a Riverhead teacher who
collapsed in cardiac arrest after a hard-fought game of tug-of-war at
"Crazy Sports Night" tonight at Riverhead High School.<br />
Phillips Avenue Elementary School teacher Lonnie Hughes went into
cardiac arrest on the high school gymnasium floor at the conclusion of a
tug-of-war contest pitting Phillips Avenue against Aquebogue Elementary
School. Hughes was the anchor man for the Phillips team, which was
defeated in the match. Immediately after it ended, Hughes fell onto his
back, appearing to have lost consciousness.<br />
Riverhead Volunteer Ambulance Corps head ALS provider Jennifer Kelly,
who was in the audience to cheer on her nephews' school, and Riverhead
High School physics teacher Gregory Wallace, an EMT with the East Marion
Fire Department, rushed to the fallen teacher's aid, Riverhead
Volunteer Ambulance Corps Chief Joseph Oliver said tonight.<br />
RVAC member Susan Shleef maintained the patient's airway and breathed for him, Oliver said.<br />
Kelly and Wallace used a defibrillator to shock the patient's heart to establish a heartbeat, Oliver said.<br />
Other teachers participating in the sports night event formed a human
wall around Hughes as EMTs worked to resuscitate him, to protect him
from view of the gymnasium packed to capacity with children and their
families.<br />
School officials immediately evacuated the gym, which was emptied
without incident within minutes of the teacher's collapse, as a
Riverhead ambulance crew rushed to him with a stretcher.<br />
Hughes began breathing on his own in the ambulance on the way to
Peconic Bay Medical Center, Oliver said. By the time the teacher was in
the emergency room, he was talking and laughing with the EMTs who
brought him there, the RVAC chief said.<br />
Hughes, 57, was transferred to Stony Brook University Hospital for further observation and testing, Oliver said.<br />
"The outcome of having our ambulance there was the reason Lonnie is alive right now," Oliver said.<br />
Hughes' family wants the community to know the teacher is alive and
well, and asked the ambulance corps chief to make a statement about
tonight's events, he said.<br />
RVAC personnel who responded to the emergency at the high school gym
tonight were: Chris Mazzucca, Sameer Anandm Heather Zilnicki, Laura
Donahue, Joseph Sokolski, Christopher Flemming, Andrej Ceckowski Sandra
Ruttkaova and Martin McKenna, according to the RVAC chiefla12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-49593857364428914472014-03-06T14:49:00.004-08:002014-03-06T14:49:50.746-08:00IHC player ‘critical’ after collapsing at basketball game<div class="article_date">
PUBLISHED: THURSDAY, MARCH 6, 2014 AT 12:30 AM</div>
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PHILADELPHIA — An Immaculate Heart Central School
basketball player is in critical condition after collapsing during a
game Tuesday afternoon at Indian River Central School. <br />
The
player, identified by IHC varsity football and softball coach Paul
Alteri as Jack Valentine, 13, was resuscitated by school personnel,
taken to Samaritan Medical Center in Watertown and transferred to
Upstate Medical University in Syracuse, according to Indian River
Athletic Director Jay Brown. Valentine was listed in critical condition
Wednesday night. The nature of his illness was unknown.<br />
Mr. Alteri said he had not spoken with the boy’s parents but heard he “is getting better.”<br />
Valentine
had just returned to the bench after playing the first quarter when he
collapsed, Mr. Brown said. The incident occurred about 4:45 p.m. Tuesday
during a boys modified seventh-grade basketball game.<br />
School
nurse Theresa M. Leeson and athletic trainer Ashley N. Naklick, both at
the school at the time, performed CPR and used an automated external
defibrillator, or AED, on Valentine until an ambulance arrived. He had a
pulse before he left, Mr. Brown said. <br />
“They did a fantastic job,” he said. “The boy is still with us today because of them.”la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-86247055899338775752014-02-17T09:06:00.002-08:002014-02-17T09:13:21.855-08:00NYS Athletic Trainers’ Association Partners with Parent Heart Watch <!--[if !mso]>
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<h1 class="title">
NYS Athletic Trainers’ Association Partners with Parent Heart Watch </h1>
<h2 class="subtitle">
The <a class="trackingLink" href="http://www.gonysata2.org/" rel="nofollow" title="NYSATA website">New York State Athletic Trainers’ Association (NYSATA)</a>
is pleased to endorse Parent Heart Watch (PHW), a grassroots
organization of parents and partners solely dedicated to reducing the
potentially-disastrous consequences of Sudden Cardiac Arrest (SCA) in
youth. The objectives of PHW in the areas of education, prevention,
recognition, and appropriate emergency action aligns them very well with
the intentions of NYSATA and all levels of athletic training-related
associations. </h2>
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Andy Smith, MS, ATC speaks at the 2014 Parent Heart Watch Conference.</div>
<div class="releaseQuote">
<img src="http://www.prweb.com/images/release-topquote.gif" height="25" hspace="5" width="29" />I
hope the NYSATA endorsement of PHW is the first of many state athletic
training associations and similar organizations joining forces in the
common goal of protecting our youth.<img align="absmiddle" src="http://www.prweb.com/images/release-bottomquote.gif" height="25" hspace="5" width="29" />
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Buffalo, NY (PRWEB) February 13, 2014 </div>
Approached in the fall of 2013 by a joint member of both the NYS Athletic Trainers’ Association (NYSATA) and <a class="trackingLink" href="http://www.parentheartwatch.org/" rel="nofollow" title="PHW website">Parent Heart Watch (PHW)</a>
for the organizations to join efforts, NYSATA saw this connection as a
win-win for both groups and gladly accepted the invitation of support
for one-another. In addition, PHW invited a NYSATA member athletic
trainer to present at their annual national conference this past
January.<br />
The mission of PHW is to protect youth from <a class="trackingLink" href="http://www.la12.org/AboutUs/SuddenCardiacArrest.aspx" rel="nofollow" title="SCA info">Sudden Cardiac Arrest (SCA)</a>
and preventable Sudden Cardiac Death (SCD) and their goals and purpose
lie in the education, advocacy, and implementation of programs to help
prevent disabilities and death of youth caused by SCA, including
appropriate emergency action and equipment – knowing these factors could
have made the difference in saving their children’s lives. This focus
aligns well with the objectives and intentions of the athletic training
profession and AT-related organizations like NYSATA. <br />
Athletic trainers (ATs) are healthcare providers educated in the
recognition and management of cardiac conditions that may be seen in a
sport-related setting, such as SCA and <a class="trackingLink" href="http://www.la12.org/AboutUs/CommotioCordis.aspx" rel="nofollow" title="Commotio Cordis info">commotio cordis,</a>
and are required to maintain a CPR/AED certification as part of their
professional certification. ATs also understand the importance of
having appropriate emergency action plans (EAPs), including appropriate
equipment, in place. The partnership between NYSATA and PHW can help
bring attention to an increasing health issue in the United States and
will provide not only members, but healthcare providers, school
officials, legislators, and the general public with educational
materials, local cardiac screening opportunities for youth, and other
useful resources in the prevention and emergency planning for cardiac
emergencies.<br />
PHW has a number of initiatives including affordable or free youth
heart screening events, assistance in obtaining automated external
defibrillators (AEDs), support for CPR/AED certifications for those who
work with youth, and advocating for a National Registry of SCA and SCD
in young populations. Other day-to-day points of focus are the
education of youth, parents, and health care professionals, including
certified athletic trainers (ATs), on the latest safety information
regarding SCA, and promote effective emergency planning, including a
written emergency action plan (EAP), for life-threatening situations
such as SCA and traumatic cardiac injury, like commotio cordis. <br />
Individually and as an organization, they have already changed laws,
placed thousands of AEDs in local communities, and conducted heart
screening events for thousands of youth. Specifically in NYS, they have
a few member organizations that offer such screenings. The <a class="trackingLink" href="http://www.madisonmccarthy.org/#" rel="nofollow" title="Madison McCarthy Coalition">[Madison McCarthy Cardiac Care Coalition for Children</a> runs screenings in the greater Buffalo area and <a class="trackingLink" href="https://www.facebook.com/pages/Heart-Screen-New-York/228489227203455" rel="nofollow" title="Heart Screen NY">Heart Screen New York,</a> and affiliates - the <a class="trackingLink" href="http://www.la12.org/" rel="nofollow" title="L Acompora Founation">Louis J. Acompora Memorial Foundation</a> and the <a class="trackingLink" href="http://www.domheart21.org/" rel="nofollow" title="D Murray Foundation">Dominic A. Murray 21 Memorial Foundation</a>
- offer screenings around Long Island. In addition to cardiac
screenings, these organizations carry out grassroots awareness
campaigns, organize educational events and CPR/AED training sessions,
provide informational and financial assistance to schools to purchase
AEDs and become Public Access Defibrillation (PAD) providers, and they
lobbied for the successful passing in 2002 of <a class="trackingLink" href="http://www.la12.org/Legislation.aspx" rel="nofollow" title="Louis' Law">“Louis’ Law”</a>
(NYS Bill #A8779) mandating that all public high schools in NYS be
equipped with AEDs in their buildings and at all sporting events. They
are now pursuing the introduction of the <a class="trackingLink" href="http://www.simonsfund.org/sudden-cardiac-arrest-law/" rel="nofollow" title="SCA Law">“Sudden Cardiac Arrest Act”</a> in NYS which was recently passed in Pennsylvania and New Jersey, with legislation pending in at least seven other states.<br />
The hope is that these efforts will decrease – and eventually
eliminate – preventable disabilities and death of youth caused by SCA,
which is currently the leading cause of fatalities on school property in
the United States – 1 in 50 schools has an episode each year. Another
notable figure, especially where NYSATA is concerned, is in the
student-athlete population, where statistics show that, in the U.S.
alone, one young competitive athlete dies every three days from an
unrecognized cardiovascular disorder. PHW also hopes to stress the
importance of early diagnosis of potentially fatal cardiac disease,
which is the second leading medical cause of death in children and
adolescents in the United States.<br />
In addition to approaching NYSATA for an endorsement, they also
invited Andy Smith, MS, ATC, Director of Sports Medicine at Canisius
College (Buffalo, NY) – and PHW member - to speak at their 9th Annual
Conference in Cary, NC. On Saturday, January 18th, Smith, who is also a
Past-President of NYSATA and 2014 inductee into the NYSATA Hall of
Fame, presented on the "Call to Action: Engaging Your State High School
Athletic Association to Effect Change.” In addition to discussing how
to reach out to the state high school athletic associations, Smith
encouraged PHW members to contact their state and regional Athletic
Training Associations for assistance, support, and offering educational
information. Smith gave an overview of the athletic training profession
and offered examples of how PHW and ATs can work together in protecting
youth.<br />
“This is an amazing group of effected individuals who proactively
work together as a unit and with affiliated groups, looking and working
toward the future to create change in this highly underrated and serious
health issue in our country,” stated Smith following his time at the
PHW conference. “I hope the NYSATA endorsement of PHW is the first of
many state athletic training associations and similar organizations
joining forces in the common goal of protecting our youth.” Smith also
noted that, following his presentation, the 160 attendees at the
conference gave NYSATA a long ovation for its endorsement of PHW.<br />
Parent Heart Watch was incorporated in 2005 after beginning three
years earlier as an informal collaboration of several families across
the United States, meeting only online, who all lost a seemingly healthy
child unexpectedly to SCA. Thanks to grants and support from the
Medtronic Foundation Heart Rescue Program and Patient Link Program the
inaugural meeting of the organization was launched, along with
educational materials, in 2002, and now PHW has members in nearly all
U.S. states. <br />
Parent Heart Watch joins a list of other organizations that NYSATA
and other AT associations have partnered with for the awareness,
prevention, and management of various life-threatening injuries,
illnesses, and conditions in sport and recreation, including: the Korey
Stringer Institute (KSI) – (sudden death in sport), <a class="trackingLink" href="http://www.thesecondimpact.com/" rel="nofollow" title="The Second Impact">The Second Impact with Ray Ciancaglini</a>
(concussions), Brain Injury Association (of NYS) (brain
injuries/concussions), and the Sports Legacy Institute (SLI)
(concussions/brain injury from sport).<br />
NYSATA, founded in 1976 and incorporated in 1989, stands to advance,
encourage and improve the profession of athletic training (AT) by
developing the common interests of its membership for the purpose of
enhancing the quality of healthcare for the physically active in NYS.
Athletic training is practiced by certified athletic trainers (ATs), who
have expertise in the assessment, emergency management, rehabilitation
and prevention of acute and chronic sport-related injuries, illnesses
and conditions, including concussions. Comprised of over 1,200
certified and practicing athletic trainers, NYSATA is the state-wide
affiliate of the regional EATA and District Two of the NATA.</div>
</div>
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</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-73503109394980779952013-12-08T14:56:00.002-08:002013-12-08T14:56:59.454-08:00Knowing where AEDs are and how they’re being used is critical to saving lives<hr class="print-hr" />
<h1 class="print-title">
Using AED Registries to Increase Bystander CPR & AED Use</h1>
<div class="print-submitted">
</div>
<div class="print-content">
Saturday, December 7, 2013<br />
Bentley J. Bobrow, MD
<br /><div>
<span style="font-size: 13px;">Bystander CPR is a critical link in the
chain of survival. It has been shown to more than double a victim’s
chance of surviving an out-of-hospital cardiac arrest (OHCA).1 Using an
automated external defibrillator (AED) in addition to performing
bystander CPR further improves the chances of survival.2 Yet, both
bystander CPR and AEDs are not provided in a majority of OHCA events.1,2</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">Because time is so critical in cardiac
arrest, immediate bystander action (calling 9-1-1, performing CPR, and
early defibrillation) is the cornerstone of maximizing the effectiveness
of subsequent EMS and hospital interventions and ultimately survival.
This is especially true in rural and congested urban areas with
prolonged response times. </span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">Bystander CPR lengthens the duration of
ventricular fibrillation (VF) and provides critical blood flow to the
heart and brain during cardiac arrest.3 This improves the likelihood of
shock success, return of spontaneous circulation (ROSC), survival, and
the chance of a good functional outcome.3,4 The combination of quickly
calling 9-1-1, immediately doing chest compressions and applying an AED
as soon as possible works synergistically to increase survival. Each of
the successive links in the chain of survival depends on the preceding
links—the whole is greater than the sum of the parts.</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">Because of this, EMS (in fact, our
entire healthcare system) has a vested interest in the delivery of care
before the arrival of professional rescuers on scene. Everything EMS
does to improve the readiness of lay rescuers (training, public
awareness, 9-1-1 pre-arrival instruction, assistance locating AEDs,
etc.) will pay heavy dividends in an increased survival rate in our
communities.</span></div>
<div>
</div>
<div>
<strong>Measuring Interventions</strong></div>
<div>
There is wide and unacceptable variability in cardiac arrest outcomes
between communities,5 which likely results from differences in
implementation and performance of important interventions such as 9-1-1
pre-arrival CPR instructions, bystander CPR and early defibrillation.
Continuously measuring these interventions and analyzing their impact is
the only way to know specifically what needs improvement and whether a
system is functioning as intended.</div>
<div>
</div>
<div>
<span style="font-size: 13px;">Current registries exist to help
communities measure their cardiac arrest incidence and outcomes. The
CARES (Cardiac Arrest Registry to Enhance Survival; https://mycares.net)
registry is a national data collection system for OHCA. This registry
includes data collection on OHCA incidence and process of care,
including bystander CPR, AED use and, recently added, data for 9-1-1
pre-arrival CPR instructions.</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">The need to take this a step further and
systematically track data from 9-1-1 centers has come about due to the
realization that the quality of telephone CPR instructions has a
significant impact on survival. Details such as whether the cardiac
arrest was correctly identified, whether CPR instructions were provided,
how long into the 9-1-1 call before CPR was started, and what type of
CPR was given can make the difference between life and death. There is
growing interest in pre-arrival CPR metrics and the need to quantify
this critical intervention. To illustrate the point: If the 9-1-1 system
provides pre-arrival CPR instructions at eight minutes into a call, it
will obviously have much less impact on survival than if the
instructions were provided one minute into the call. And yet both
callers received “pre-arrival CPR instructions.”</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">The state of Arizona and King County,
Wash., have piloted a data collection tool and reporting system for
suspected cardiac arrest dispatch calls, which is integrated into their
OHCA registries and linked to EMS care, hospital care and patient
outcomes. In Arizona, the 9-1-1 pre-arrival CPR program is part of the
Save Hearts in Arizona Registry and Education (SHARE) Program, a
collaboration between the Arizona Department of Health Services and the
University of Arizona (see http://azdhs.gov/azshare/911/index.htm). The
Arizona and King County, Wash., models have now been incorporated into
CARES to help dispatch and EMS systems across the country. </span></div>
<div>
</div>
<div>
<strong>Why You Need an AED Registry</strong></div>
<div>
Like bystander CPR data, AED information is a critical component of an
ongoing cardiac resuscitation system of care. When various data points
along the continuum of care (bystander CPR, 9-1-1 data, AED
placement/use, and outcomes) are integrated into a standardized
registry, such as CARES, an entire system can be measured and improved
over time.</div>
<div>
</div>
<div>
<span style="font-size: 13px;">AED information needs to be integrated
into registries in order to know where AEDs are placed, if they are
checked for maintenance (pads, batteries), if potential users are
trained on-site, when they are used, and the ultimate patient outcome.
Event data should include the location of the arrest, who did CPR, what
kind of CPR was performed, who applied the AED, and whether a shock was
delivered. Detailed data after an AED is used should be made available
to other healthcare providers such as emergency physicians and
cardiologists.</span></div>
<div>
What follows is a closer examination of why you need an AED registry: </div>
<div>
</div>
<div>
<span style="font-size: 13px;"><strong>• You can’t use them if you don’t know where they are: </strong>We
know AEDs are extremely safe and effective.2 We also know they are only
used by the public in approximately 4% of OHCAs.6 Knowing where AEDs
are located and if they are being used is important information. For
example, if AEDs are placed in a certain area of town but they aren’t
being used in cardiac emergencies, likely more public education is
needed. In contrast, if cardiac arrest is occurring more frequently in a
certain location where few AEDs are available, then more attention
should be given to acquiring and placing additional AEDs throughout that
community.</span></div>
<div>
<strong>• You can’t use them if they’re not maintained: </strong>Just
as an AED that is not found cannot save a life, neither will an AED that
is not properly maintained. Maintenance includes making sure expired
pads and batteries are replaced and software upgrades are installed. A
Web-based AED registry can assist in ensuring the functionality of AEDs
by sending maintenance reminders. Just as fire departments check fire
extinguishers in a community, it makes sense that you need to have a
system to ensure that all AEDs are maintained in a ready-to-use state.</div>
<div>
<strong>• You can’t use them if they’re not there:</strong> Another
reason for having an AED registry is the fact that the information can
be useful in the submission of grants for the deployment of additional
AEDs. To secure and receive either private foundation or government
grants, a Public Access to Defibrillation (PAD) program needs accurate
data—both utilization and patient outcome information. AED grants can
come from both private foundations and government. An example of a
private foundation offering grants is The Ramsey Social Justice
Foundation (http://ramseyjusticefoundation.org), which has donated AEDs
to communities participating in the SHARE Program in Arizona. An example
of a government AED grant is the one offered through the U.S.
Department of Health and Human Services’ Rural Health program. </div>
<div>
</div>
<div>
<strong>Finding AEDs with Social Software</strong></div>
<div>
Keeping tabs on the locations of existing AEDs has been a challenge.
There have been several large-scale efforts to locate AEDs within
communities. One such program in Philadelphia used a crowdsourcing
approach. In 2012, the MyHeartMap Challenge
(www.med.upenn.edu/myheartmap) set up a competition and offered monetary
awards for those submitting the most AED locations. Using a smartphone
application, participants photographed and recorded GPS coordinates for
AEDs they found throughout the city. </div>
<div>
</div>
<div>
<span style="font-size: 13px;">Also using mobile phone technology, the
PulsePoint App (http://pulsepoint.org) takes locating AEDs one step
further—tying the location of the AEDs directly to nearby cardiac arrest
incidents through the community’s 9-1-1 system. The mobile app (iPhone
and Android) sends real-time AED location information to those within a
certain radius of a suspected cardiac arrest with the goal of increasing
both bystander CPR and the use of the life-saving devices. </span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">Potential lay rescuers must normally
witness an arrest to take action. PulsePoint seeks to improve the
efficiency of both CPR-trained citizens and publicly available AEDs by
making bystander rescuers aware of cardiac events occurring nearby so
they can retrieve an AED and begin CPR while paramedics are making their
way to the scene. No one is in a better position to make a difference
in the first few minutes of an OHCA than a nearby CPR/AED-trained
individual. PulsePoint has been successfully implemented in many U.S.
cities.</span></div>
<div>
</div>
<div>
<strong>Disparity Issues: Location of Arrests</strong></div>
<div>
The location of a cardiac arrest has a significant influence on patient
survival. Patients who arrest in public have a higher probability of
having their arrest witnessed, receiving bystander CPR, and receiving
defibrillation with an AED—all of which strongly increase the chance of
survival.2</div>
<div>
</div>
<div>
<span style="font-size: 13px;">National data on bystander CPR and PAD
programs have uncovered large and unacceptable disparities. For example,
using the CARES registry, Sasson and colleagues found that in
low-income black neighborhoods the odds of receiving bystander-initiated
CPR was approximately 50% lower than in high-income non-black
neighborhoods.7 Their study showed that both the racial composition and
the median income of a neighborhood have a significant effect on the
likelihood of receiving bystander CPR. Studies like this help identify
where to concentrate public training and education efforts.</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">In Arizona, Dr. Sungwoo Moon (a visiting
professor from Korea University) found OHCA victims in mainly Hispanic
neighborhoods received bystander CPR less frequently and had worse
neurologic outcomes than those in mainly white, non-Hispanic
neighborhoods.8 </span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">Using Geographic Information System
(GIS) technology and SHARE Program OHCA event data, Dr. Moon was also
able to identify the areas where OHCAs occurred most frequently but
where AEDs were lacking. This is a great example of how important it is
to have both cardiac arrest event and AED location data.9</span></div>
<div>
</div>
<div>
<strong>A Variety of AED Registries</strong></div>
<div>
AED registries can take different shapes. Most states require reporting
of AED locations to local EMS and/or dispatch centers. However, it
varies widely as to how agencies capture and actually use this
information. </div>
<div>
</div>
<div>
<span style="font-size: 13px;">Arizona’s SHARE Program AED registry is
voluntary; however, it fulfills the statutory requirement that AED
owners enter into an agreement with a physician to oversee a PAD
program. In the SHARE registry, medical direction is free of charge to
those complying with the training and reporting requirements. The
registry uses a Web-based data entry system.</span></div>
<div>
</div>
<div>
<span style="font-size: 13px;">AED owners must keep their units
functioning and registries can play an important role in helping to
ensure that AEDs are always in a ready-to-use state. A Web-based AED
registry can send general reminders to registrants or targeted reminders
based on expiration dates entered into the system. Several companies
offer subscription services to assist with this.</span></div>
<div>
</div>
<div>
<strong>The Future of AEDs</strong></div>
<div>
Tracking AEDs that are placed in static locations is one thing;
however, tracking the location of AEDs that are mobile, such as those
used during high school athletic events, requires a higher level of
sophistication. Also, many AEDs are moved from one “permanent” location
to another. In the future, AEDs will include technology (perhaps GPS,
WiFi, Bluetooth, or other methods) that will allow tracking in real
time, thereby allowing more efficient monitoring of the units’ placement
and readiness. This technology will likely be integrated into CAD
systems in the future, aiding dispatchers in locating AEDs and relaying
that information to callers, in an effort to increase AED use. And of
course, more AED use and more bystander CPR will translate into more
lives saved.</div>
<div>
</div>
<div>
<strong style="font-size: 13px;">References</strong></div>
<div>
1. Sasson C, Rogers MA, Dahl J, et al. Predictors of survival from
out-of-hospital cardiac arrest: A systematic review and meta-analysis.
Circ Cardiovasc Qual Outcomes. 2010;3:63–81.</div>
<div>
2. Hallstrom AP, Ornato JP, Weisfeldt M, et al. Public-access
defibrillation and survival after out-of-hospital cardiac arrest. N Engl
J Med. 2004;351:637–646.</div>
<div>
3. Eftestol T, Wik L, Sunde K, et al. Effects of cardiopulmonary
resuscitation on predictors of ventricular fibrillation defibrillation
success during out-of-hospital cardiac arrest. Circulation.
2004;110:10–15.</div>
<div>
4. Bobrow BJ, Spaite DW, Berg RA, et al. Chest compression-only cpr by
lay rescuers and survival from out-of-hospital cardiac arrest. JAMA.
2010;304:1447-1454.</div>
<div>
5. Nichol G, Thomas E, Callaway CW, et al. Regional variation in
out-of-hospital cardiac arrest incidence and outcome. JAMA.
2008;300:1423–1431.</div>
<div>
6. Weisfeldt ML, Sitlani CM, Ornato JP, et al. Survival after
application of automatic external defibrillators before arrival of the
emergency medical system: Evaluation in the resuscitation outcomes
consortium population of 21 million. J Am Coll Cardiol.
2010;55:1713-–1720.</div>
<div>
7. Sasson C, Magid DJ, Chan P, et al. Association of neighborhood
characteristics with bystander-initiated cpr. N Engl J Med.
2012;367:1607–1615.</div>
<div>
8. Moon S, Kortuem W, Kisakye M, et al. Disparities in Bystander CPR
and Neurologic Outcomes from Cardiac Arrest According to Neighborhood
Ethnicity Characteristics in Arizona. Poster presentation to the
American Heart Association, Resuscitation Science Symposium, Scientific
Sessions in Dallas, Texas. November 2013. Circulation; in press.</div>
<div>
9. Moon S, Kortuem W, Kisakye M, et al. Analysis of Out-of-Hospital
Cardiac Arrest Location and Public Access Defibrillator Placement in
Metro Phoenix, Arizona. Poster presentation to the American Heart
Association, Resuscitation Science Symposium, Scientific Sessions in
Dallas, Texas. November 2013. Circulation; in press.</div>
</div>
<div class="print-taxonomy">
<ul class="links">
<li class="taxonomy_term_1501 first"><a href="http://www.jems.com/category/primary-edit-sections/technology" rel="tag" title="">Technology</a></li>
<li class="taxonomy_term_1484"><a href="http://www.jems.com/tags/Cardiac%20and%20Circulation" rel="tag" title="">Cardiac and Circulation</a></li>
<li class="taxonomy_term_7211"><a href="http://www.jems.com/taxonomy/term/7211" rel="tag" title="">AED registry</a></li>
<li class="taxonomy_term_1617"><a href="http://www.jems.com/category/keyword-tags/bystander-cpr" rel="tag" title="">bystander CPR</a></li>
<li class="taxonomy_term_1543"><a href="http://www.jems.com/category/keyword-tags/cardiac-arrest" rel="tag" title="">cardiac arrest</a></li>
<li class="taxonomy_term_3096"><a href="http://www.jems.com/taxonomy/term/3096" rel="tag" title="">chain of survival</a></li>
<li class="taxonomy_term_2069"><a href="http://www.jems.com/tagarchive/cpr" rel="tag" title="">cpr</a></li>
<li class="taxonomy_term_9408"><a href="http://www.jems.com/taxonomy/term/9408" rel="tag" title="">defibrillation</a></li>
<li class="taxonomy_term_5289"><a href="http://www.jems.com/taxonomy/term/5289" rel="tag" title="">ED</a></li>
<li class="taxonomy_term_2616"><a href="http://www.jems.com/taxonomy/term/2616" rel="tag" title="">OHCA</a></li>
<li class="taxonomy_term_3097 last"><a href="http://www.jems.com/taxonomy/term/3097" rel="tag" title="">out-of-hospital cardiac arrest</a></li>
</ul>
</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-37160236609819499852013-11-26T18:21:00.000-08:002013-11-26T18:21:01.952-08:00Northport family raises focus on AEDs<div class="byline">
Originally published: November 26, 2013 7:26 PM<br />
Updated: November 26, 2013 7:31 PM<br />
By <span class="author">MACKENZIE ISSLER</span>
<a href="mailto:mackenzie.issler@newsday.com?subject=Newsday.com%20Article">mackenzie.issler@newsday.com</a> </div>
Karen and John Acompora pulled up to an Amityville elementary school they had never visited, to meet a girl they did not know. <br />
A few weeks earlier, 12-year-old
Kiavelyn Altagracia, a seventh-grader at Edmund W. Miles Middle School
in Amityville, collapsed on the sideline during her soccer practice. She
was unconscious and barely had a pulse, said her coach, Isha Hamilton,
who started CPR.<br />
Within minutes, Hamilton used an
automated external defibrillator, more commonly known as an AED. The
machine the size of a laptop computer told her to keep doing chest
compressions and rescue breathing.<br />
"She took a deep gasp, and I felt a very faint pulse," Hamilton said. Kiavelyn slowly regained consciousness.<br />
The AED was on the field because of
the Acomporas of Northport, whose son Louis died on March 25, 2000,
after a ball hit him in the chest during his first high school lacrosse
game. There was no AED on hand.<br />
The lacrosse game was in West Islip.
The second quarter had just started and Louis was in the goal, wearing a
chest protector, when the ball struck him and he collapsed.<br />
Karen and John Acompora were in the
stands and thought Louis had had the wind knocked out of him. But after a
few minutes, Louis didn't get up, and his parents knew something was
wrong. John Acompora ran to the field, while CPR was being performed.
Karen Acompora remembers seeing her husband take off Louis' chin strap.<br />
Louis, 14, died on that field.<br />
In 2002, Louis' Law was enacted,
months after the family launched the Louis J. Acompora Memorial
Foundation. The law mandates that schools, including athletic events,
have AEDs on-site and people trained to use them. Kiavelyn was the 75th
save statewide since the law passed.<br />
"It is amazing what they are doing and
so heroic," said Hamilton, who teaches physical education at the
Amityville school. The Acomporas attended an October school board
meeting at Park Avenue Elementary, where they presented awards to
Kiavelyn, Hamilton and Greg McCoy, another coach who assisted with the
save.<br />
The Acomporas, who also have a
daughter, have spent years raising awareness about AEDs. To date, the
law has saved 76 people, the family said.<br />
"Out of those 76, there are a lot of
them who have paid it forward," Karen Acompora said. One is a foundation
board member, and many have helped raise money and participated in
advocacy efforts, she said. <br />
Greater New York American Red Cross
spokesman Michael de Vulpillieres said Kiavelyn's save "emphasizes the
continued importance of using an AED within two to three minutes of
sudden cardiac arrest and having trained rescuers who recognize and act
in an emergency to save a life."<br />
"We applaud the efforts of the
Acompora family over the years to make AEDs more accessible while
honoring the memory of their son," de Vulpillieres said.<br />
American Heart Association staff
member Robin Vitale said the Acomporas "are a tremendous source of
strength and inspiration for those of us working to improve bystander
response to an emergency, meaning CPR initiation and using an AED."<br />
"I simply cannot begin to imagine the
depth of pain they experienced 13 years ago with the death of their son,
Louis," Vitale said. "But what a testament to the courage of Karen and
John that they have committed to building his legacy by continuing their
advocacy."The foundation just held an event in Floral Park, where about
400 children were screened for heart conditions, and they are planning
another for next year.<br />
Karen Acompora says her family's work
helps keep Louis' memory alive. They always talk about him, and now they
have a grandson, 5-year-old Louis. "It is like Louis is still here with
us," she said.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-45159644049092852322013-10-21T17:25:00.004-07:002013-10-21T17:25:35.900-07:00 Onteora player resuscitated after collapsing on Wallkill court<div class="noindex" style="clear: left;">
<div style="width: auto;">
<span class="bold">By </span>WILLIAM MONTOGMERY</div>
<br />Times Herald-Record
<br />
<div class="bylineDate">
Published: 2:00 AM - 10/18/13
</div>
</div>
<div class="articleGraf">
Heroes and life-and-death situations are clichés
in the sports world, but they were quite real during Thursday's
volleyball match between Onteora and Wallkill.</div>
<div class="articleGraf">
Onteora
junior Makalia Ouellette walked over to coach Brittany Alexander during
the match at Wallkill complaining that she wasn't feeling well and
thought she might pass out. Alexander called timeout as Ouellette
collapsed into her arms.</div>
<div class="articleGraf">
Alexander said she
yelled for help and "people came running." After laying Ouellette flat
on the court, Alexander immediately began performing CPR. Ouellette was
unconscious and "turning blue and not breathing," Alexander said.
Onteora assistant coach Nicole Saunders found Wallkill's automated
external defibrillator and gave Ouellette a shock that caused her to
regain consciousness.</div>
<div class="articleGraf">
"After screaming and
freaking out, she did eventually calm down and was alert," Alexander
said. Her teammates "were able to see her go out on the stretcher alert.
I did notify them on the bus ride home that she had made it to the
hospital and was OK."</div>
<div class="articleGraf">
An ambulance took
Ouellette to St. Luke's Cornwall Hospital in Newburgh. Alexander heard
from a number of team parents that followed the ambulance to the
hospital that Ouellette's condition was stable. She was later
transferred to a hospital in Westchester County.</div>
<div class="articleGraf">
Ouellette's parents were notified shortly after she collapsed and met her at the hospital.</div>
<div class="articleGraf">
Alexander said Ouellette had no history of medical conditions.</div>
<div class="articleGraf">
When
Onteora's bus returned to the school in Boiceville after the match,
which did not continue, the players were greeted by social workers,
counselors and psychologists for trauma counseling.</div>
<div class="articleGraf">
"It
was nice that they had that, because I was in shock," Alexander said.
"She looked like she was not going to make it. It was the scariest thing
I've ever experienced in my whole entire life."</div>
<div class="articleGraf">
Alexander
credited a pair of men who came down from the stands to help administer
CPR. In the chaos that ensued, she did not get their names.</div>
<div class="articleGraf">
For
coaches around Section 9, Alexander hopes the incident can have a
silver lining. If more coaches and school employees and officials are
trained to use an AED in an emergency situation, they, too, may be able
to save a life.</div>
<div class="articleGraf">
"Every person, every teacher,
every administrator, every janitor and especially every bus driver, they
all need to have this training," she said. "Bus drivers need to have an
AED on the bus, too. You need to be able to react right then and there.
There isn't any time to think. You need to just do it. I never thought I
was going to have to use it, but tonight was my wake-up call."</div>
<div class="articleGraf">
wmontgomery@th-record.com</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-54907819048884327242013-09-18T19:08:00.001-07:002013-09-18T19:13:11.286-07:00Coach Isha Hamilton uses CPR to save Edmund W. Miles Middle School student Kiavelyn Altagracia<h2>
A soccer coach is being hailed as a hero after making a great save.</h2>
<div class="date">
September 18, 2013
</div>
<div class="image">
<img alt="Coach and educator Isha Hamilton says she used" class="" height="169" src="http://longisland.news12.com/polopoly_fs/1.6098277.1379539390%21/httpImage/image.jpeg_gen/derivatives/display_300/image.jpeg" title="Coach and educator Isha Hamilton says she used..." width="300" />
<span class="caption">
</span></div>
A <a href="http://longisland.news12.com/news/coach-isha-hamilton-uses-cpr-to-save-edmund-w-miles-middle-school-student-kiavelyn-altagracia-1.6098263?print=true#" id="_GPLITA_1" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">soccer</a> coach is being hailed as a hero after making a great save.<br />
Coach and educator Isha Hamilton says she used her <a href="http://longisland.news12.com/news/coach-isha-hamilton-uses-cpr-to-save-edmund-w-miles-middle-school-student-kiavelyn-altagracia-1.6098263?print=true#" id="_GPLITA_0" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">CPR training</a> for the first time in her 11-year career at Edmund W. Miles Middle School in Amityville to save a student.<br />
Seventh-grader
Kiavelyn Altagracia fell to the ground unconscious and stopped
breathing. With the help of a defibrillator and chest compressions,
Kiavelyn began breathing on her own again.<br />
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Kiavelyn hopes to be back on the <a href="http://longisland.news12.com/news/coach-isha-hamilton-uses-cpr-to-save-edmund-w-miles-middle-school-student-kiavelyn-altagracia-1.6098263?print=true#" id="_GPLITA_2" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">soccer</a> field again very soon. She is waiting on approval from her doctor.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-37702759561099973632013-08-26T08:25:00.002-07:002013-08-26T08:25:31.171-07:005 Keys to Success for Automated External Defibrillator (AED) Programs<ul class="byline" id="ph_pcontent2_0_ByAuthor">
<li class="nodate">Aug 21, 2013</li>
</ul>
According to the American Heart Association, over 300,000
sudden cardiac arrests (SCA) occur annually in the United States, and,
according to OSHA, about 10,000 occur at work. For many companies who
set out to improve the health and safety of their workforce by
implementing an Automated External Defibrillation (AED) program, it’s
often easier to set up a defibrillator program than it is to maintain
and keep the program as vibrant as it was when it started. While it is
rare that an SCA will occur in the workplace, sudden cardiac arrest can
happen to anyone, at any time, so having an AED and employees prepared
to respond can make the difference if a sudden cardiac arrest occurs.
While choosing a defibrillator and setting up your AED program require
diligence, there are a few simple steps that will help you maximize your
program’s effectiveness and ensure it will perform should the need
arise.<br />
Championing: One of the most critical elements for success with your
company’s AED program is to have an internal champion. It doesn’t have
to be you, the safety professional responsible for the overall program.
Motivation is the key. Ask for a volunteer to help you promote and
educate your co-workers. See if one of your employees has had a personal
or family experience with SCA and is willing to help promote the
program internally.<br />
Elements of successful championing include:<br />
1. Informational brochure about your AED program. It should include
information on what defibrillators are, how they work, where they are
located and how to <a href="http://ohsonline.com/Articles/2013/08/21/5-Keys-to-Success-for-Automated-External-Defibrillator.aspx?admgarea=news&p=1#" id="_GPLITA_3" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">sign up</a> to join your internal emergency response team
<br />
2. Annual review of Emergency Response Plan (including AED program)
<br />
3. Showing Public Service Announcements (PSA) that create awareness
of Sudden Cardiac Arrest, Compression Only CPR and AED programs
Recordkeeping/Device Tracking/Maintenance: Although AEDs are easy to set
up and install, making sure that they are ready for use is critical.
Most devices have warning signals such as loud beeps and lights to
notify personnel when the device is not ready for use. However, these
methods still require an employee to notice these warning signals.<br />
Make sure that you use an asset management <a href="http://ohsonline.com/Articles/2013/08/21/5-Keys-to-Success-for-Automated-External-Defibrillator.aspx?admgarea=news&p=1#" id="_GPLITA_1" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">tracking system</a> to record the expiry dates of your defibrillators’ consumables such as batteries and pads, and to keep track of your units<br />
Integrate your defibrillator maintenance schedule into your safety
program schedule that would include fire alert and suppression systems,
personal protective equipment (PPE), first aid station and other
maintained systems.<br />
Medical Direction and Regulatory Compliance: Most AEDs require a
prescription from a physician for purchase and deployment in the
workplace. In addition, many states (and even some municipalities) have
legal requirements for workplace AED programs. In addition to having a
prescription, some legal requirements include medical oversight and
review of your maintenance and training programs. Additionally, some EMS
systems require the <a href="http://ohsonline.com/Articles/2013/08/21/5-Keys-to-Success-for-Automated-External-Defibrillator.aspx?admgarea=news&p=1#" id="_GPLITA_0" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">registration</a> of AEDs.<br />
To minimize the legal risk to your company, make sure that you are in
compliance with all regulatory and legislative requirements for your
area.
<br />
Training: As a safety and health professional, you understand the importance of <a href="http://ohsonline.com/Articles/2013/08/21/5-Keys-to-Success-for-Automated-External-Defibrillator.aspx?admgarea=news&p=1#" id="_GPLITA_2" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">first aid training</a>
in the workplace but since approximately 80% of cardiac arrests occur
at home, the training your employees receive will likely be used to help
a family member or neighbor. Since most first aid training programs
include CPR and AED elements, you’ll want to make sure that your
instructor reviews how to use your company’s specific AED. In addition
to reviewing how to operate the defibrillator, make sure that your
trained employees can recognize when the device is in need of service.<br />
Your employees should know these critical response elements:<br />
1. How to recognize sudden cardiac arrest and how to activate your
emergency response plan, including location of the AEDs and activation
of the Emergency <a href="http://ohsonline.com/Articles/2013/08/21/5-Keys-to-Success-for-Automated-External-Defibrillator.aspx?admgarea=news&p=1#" id="_GPLITA_4" style="text-decoration: underline;" title="Click to Continue > by CouponDropDown">Medical Services</a> (EMS) system
<br />
2. How to perform cardiopulmonary resuscitation (CPR) and if untrained, compression-only CPR
<br />
3. How to use the AED
<br />
4. How to provide on-going care until EMS arrives
<br />
Finally, as time passes since their first aid training occurred,
trained employees often lose confidence in their ability to perform
these life-saving skills. Many training program providers offer methods
of refresher training via the use of on-line programs and should be
considered. Another method of refresher training is conducting drills to
respond to sudden cardiac arrest that is reviewed below.<br />
<strong>Sudden Cardiac Arrest (SCA) Drills</strong><br />
The cornerstone of successful AED programs is integrating the use of
AEDs into your emergency response drills. These exercises help identify
weaknesses in the emergency response system that could be overlooked,
plus it gives employees the opportunity to practice their emergency
skills outside the classroom. Try to make the drill as realistic as
possible using a team approach to maximize organizational preparedness.<br />
Key elements of the drill should include:<br />
1. Pre-drill preparation including notifying key communications
personnel such as management and switchboard personnel; preparing
emergency response equipment such as manikins and AED training devices
<br />
2. Notification of the drill for emergency response team members
<br />
3. Pre-exercise briefing
<br />
4. Simulated SCA Medical Exercise including appropriate response checklists
<br />
5. Debriefing
<br />
6. Additional exercises or CPR and AED practice for emergency response team members
<br />
Successful drills will not only provide you with insight into your
AED program but should also serve as educational and motivational
experiences for your emergency response team(s).<br />
<strong>Why It Matters</strong><br />
Quick and appropriate response to cardiac arrest using an AED and
performing CPR can significantly improve the chances for survival. In
some workplace locations, success rates approach 60% versus 7-10%
typically found when employees have to wait for EMS response prior to
receiving early defibrillation.<br />
While implementing and maintaining an AED program may seem daunting,
there are numerous resources available to assist you in developing one
for your workplace and your workplace employees.<br />
<br class="clearit" />
<div id="disclaimer">
<div class="copyright" id="Copyright_copyright">
Copyright 2010 <a href="http://www.1105media.com/" target="_blank">1105 Media Inc.</a>
</div>
</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-16630718870283038972013-06-02T19:01:00.001-07:002013-06-02T19:01:22.723-07:00Longwood HS senior uses AED to revive man<h1>
Longwood HS senior uses AED to revive man</h1>
<div class="byline">
Originally published: June 1, 2013 8:08 PM<br />
Updated: June 1, 2013 8:52 PM<br />
By <span class="author">JOAN GRALLA</span>
<a href="mailto:joan.gralla@newsday.com?subject=Newsday.com%20Article">joan.gralla@newsday.com</a> </div>
<div class="topImg">
<img alt="Kayla Parmely, an 18-year-old senior at Longwood High" class="" height="400" src="http://cdn.newsday.com/polopoly_fs/1.5387485.1370135530%21/httpImage/image.JPG_gen/derivatives/display_600/image.JPG" title="Kayla Parmely, an 18-year-old senior at Longwood High..." width="600" />
</div>
<div class="caption">
Photo credit: Johnny Milano | Kayla Parmely, an 18-year-old
senior at Longwood High School, administered an electric shock, reviving
a grandfather who had collapsed at a school festival on Wednesday
evening, school authorities said. (May 31 2013) </div>
<div id="media">
<div class="module">
<h3>
</h3>
<a href="http://www.newsday.com/long-island/towns/hometown-heroes-1.2994329">
Hometown heroes
</a>
</div>
</div>
An 18-year-old senior at Longwood High
School administered the electric shock that revived a grandfather who
had collapsed at a school festival on Wednesday evening, school
authorities said. <br />
Kayla Parmely, who is also a probationary firefighter, said she saw the commotion and raced across the <a href="http://www.newsday.com/topics//Middle_Island,_NY">Middle Island</a> auditorium where a crowd had gathered around a man who had fallen to the floor.<br />
"I heard someone scream to grab the AED," Parmely said, referring to the automated external defibrillator.<br />
<hr />
<hr />
"I pushed my way through and I noticed someone doing CPR on him. And no one knew how to use" the AED, said Parmely, of <a href="http://www.newsday.com/topics//Coram,_NY">Coram</a>.<br />
"So I hooked it up and shocked him . . . eventually, he started breathing on his own," Parmely said.<br />
Myra Vaughn, a spokeswoman for the
Longwood school district, confirmed that Parmely had shocked the
grandfather of a fellow student back to life.<br />
The patient, who did not wish to have his name revealed, was doing well Saturday, Parmely said.<br />
"Everything's fine; he's breathing on his own," she said.<br />
"She is responsible for saving this man's life," Lt. Christopher Welga of the <a href="http://www.newsday.com/topics//Middle_Island,_NY">Middle Island</a> Fire Department, who trained Parmely, said in a statement provided by the school district.<br />
"She immediately recognized a true emergency and she didn't freak. She did exactly what she needed to do," Welga said.<br />
The fire department did not respond to requests for comment.<br />
Parmely, along with some other
rescuers, gave the man CPR until the EMTs arrived, about eight to 10
minutes later, she estimates.<br />
"When the <a href="http://www.newsday.com/topics//Yaphank,_NY">Yaphank</a>
EMTs arrived, they were just amazed at how she handled it. She was able
to give them vitals and tell them what was going on," said her mother,
Jo Ann Parmely.<br />
"This is actually her third cardiac resuscitation; this is the first one she had to juggle on her own," she said.<br />
Kayla Parmely knows the man's grandson
from a physics class. "I was just amazed that I did that," Parmely
said. "I didn't think, I just acted."<br />
The <a href="http://www.newsday.com/topics//Middle_Island,_NY">Middle Island</a> Fire Department on Friday evening gave Parmely a medal for her CPR save and a letter of commendation, her mother said.<br />
The teenager is a triplet, with two brothers, Eric and Kevin. She and Eric joined the fire program two years ago.<br />
When the man collapsed, Kayla Parmely
was attending the school's Music and Art Festival to hear her boyfriend,
a percussionist, perform.<br />
She will be attending SUNY Oneonta this fall, where she plans to join the on-campus EMT unit and major in psychology.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-60326993061301444732013-05-23T11:16:00.001-07:002013-05-23T11:16:38.368-07:00Defibrillator Used on Lancaster Student in Cardiac Arrest<!--[if gte mso 9]><xml>
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1:23
PM, May 22, 2013</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
Posted
By: Collin Bishop</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
LANCASTER,
NY - A female student at Lancaster High School went into cardiac arrest this
morning in the school.</div>
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<br /></div>
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According
to a spokeswoman for the district, another student got the nurse and they
called 911.</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
Bowmansville
Fire Department responded and used a defibrillator on the student at the school.</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
She
is now being treated at the hospital.</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
There
is no word on her condition but the spokeswoman says she is doing well.</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-34229430542892227872013-05-20T13:03:00.002-07:002013-05-20T13:03:50.950-07:005 Things You Need to Know About AEDs <!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 1;">
<b><span style="font-size: 24.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"><br /></span></b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">When the chance to save a life from cardiac arrest comes up,
will you be ready?</span></b></div>
<div class="MsoNormal">
<span style="mso-fareast-font-family: "Times New Roman";">By
Jennifer Brown, Everyday Health Staff Writer</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">FRIDAY, May 17, 2013 —</span></b><span style="mso-fareast-font-family: "Times New Roman";"> Cardiac arrest is a leading cause
of death in the U.S. and in the workplace today, but with simple training, you
can be ready to respond if someone needs your help. As a malfunction of the
heart’s electrical system, cardiac arrest is sometimes a complication of
ventricular fibrillation, and causes more than half of the deaths that result
from cardiovascular disease. Survival rates jump up
sharply from 5 percent to more than 80 percent when someone steps in
and quickly uses an automated external defibrillator (AED) to restart the heart. To
encourage people to help others without the worry of litigation, Good Samaritan
laws protect those who intervene in an emergency in the U.S. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">Here's what you need to know: </span></b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">What is an AED?</span></b><span style="mso-fareast-font-family: "Times New Roman";"> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">An automated external
defibrillator (AED) is a small computerized medical device that analyzes a
person’s heart rhythm. The AED is programmed to detect the type of heart rhythm
which requires intervention. It includes simple instructions and automated
voice directions. Used by a trained operator outside of the hospital setting,
the AED gives an electrical shock called defibrillation to restart a person’s
heart, if needed. Using an AED within the first few minutes can reverse cardiac
arrest and saves lives.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">How does an AED work? </span></b><span style="mso-fareast-font-family: "Times New Roman";"> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">An AED measures the
unresponsive person’s heart rhythm. The computerized device then selects and
delivers automated voice instructions to the rescuer, based on the heart
rhythm. The AED safely delivers an electric shock to the victim’s chest
that can reset normal heart rhythm at once. “It is essential that quick
defibrillation occur in order to save the patient’s life. With each
minute the patient is in ventricular fibrillation the likelihood of survival
goes down,” Kevin R. Campbell, MD, FACC, a cardiologist at UNC Health Care/Rex said. The
benefits to the patient are tremendous, he added, “AEDs change the survival
rate from less than 5 percent to more than 80 percent with quick
defibrillation.” With simple training, you can greatly change the person’s odds
of survival during cardiac arrest. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">When do I use an AED?</span></b><span style="mso-fareast-font-family: "Times New Roman";"> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.everydayhealth.com/heart-health/is-it-cardiac-arrest-or-heart-attack.aspx" target="_blank"><span style="color: blue;">Cardiac arrest</span></a> can occur
anytime and anyplace without warning. During cardiac arrest, the person’s heart
beat becomes irregular and erratic — known as ventricular fibrillation — and
unless a shock is delivered, the patient will die. “Every minute that a patient
remains in the erratic heart rhythm, the likelihood of survival goes down
exponentially,” says Dr. Campbell. In his experience, heart attacks often occur
in the early morning hours when adrenaline and cortisol levels are at their
highest.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The operator of an AED must
be able to detect symptoms of sudden cardiac arrest. It is time to get an AED
if a person:</span></div>
<ul type="disc">
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-fareast-font-family: "Times New Roman";">Becomes unresponsive suddenly</span></li>
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<li class="MsoNormal" style="mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-fareast-font-family: "Times New Roman";">Does not respond when you ask, “Are you OK?”</span></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="mso-fareast-font-family: "Times New Roman";">Does not take a breath when you tilt the head up</span></li>
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<span style="mso-fareast-font-family: "Times New Roman";">This is the emergency
situation where every minute counts, so call 911 and get an AED.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">Where can I find an AED?</span></b><span style="mso-fareast-font-family: "Times New Roman";"> </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The <a href="http://www.heart.org/HEARTORG/CPRAndECC/CorporateTraining/AEDResources/AED-Programs-Q-A_UCM_323111_Article.jsp"><span style="color: blue;">American Heart Association</span></a> encourages public access
to AEDs which should now be available wherever a large group congregates. Laws
differ by state, but many states require AEDs in public areas like schools,
health clubs, and sports stadiums. All emergency response vehicles are equipped
with AEDs. “I believe that every single public school in the country should
have an AED readily available,” said Campbell. It may be difficult to locate an
AED in an emergency, and so having these devices clearly marked at the worksite
and in public areas is essential. Ask where the AED is in your worksite today.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="mso-fareast-font-family: "Times New Roman";">How can I get trained on
using an AED to save hearts and lives?</span></b><span style="mso-fareast-font-family: "Times New Roman";"> </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">The American Heart
Association’s <a href="http://www.heart.org/HEARTORG/CPRAndECC/WorkplaceTraining/HeartsaverCourses/Heartsaver-CPR-AED-Online-Part-1_UCM_303283_Article.jsp"><span style="color: blue;">Heartsaver</span></a> training on performing using an AED is
available online, with follow-up hands-on training with instructors. The <a href="http://www.redcross.org/take-a-class/program-highlights/cpr-first-aid"><span style="color: blue;">American Red Cross</span></a> provides live training and
certification for AED use in many communities. Training takes only a few hours
because an AED is simple to use and every device includes clear
directions. According to the Red Cross, training people to use AEDs and
providing ready access to them could save as many as 50,000 lives yearly. “I
think that everyone should be trained,” said Campbell.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="mso-fareast-font-family: "Times New Roman";">Have you taken AED training
course? Please share your experiences with Everyday Health readers by adding a
comment in the box below the article.</span></div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-89140237008559483642013-05-15T18:14:00.000-07:002013-05-15T18:14:16.803-07:00Keep Youth Sports Safety Top of Mind: Guidelines from National Athletic Trainers’ Association<!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-size: 14.0pt;"><br /></span></b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
By
Staff Editor</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
May
15, 2013 - 10:04:15 AM</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
(HealthNewsDigest.com)
- DALLAS, May 15, 2013 - With the spring sports season well underway and summer
preseason practices and youth league games around the corner, young athletes
are already enjoying warm weather activities and competition. "Every team
and athlete should have sports safety as a top priority," says Larry
Cooper, chair of the National Athletic Trainers' Association Secondary School
Committee and head athletic trainer at Penn Trafford (Pa.) High School.
"It's vital for coaches, athletic trainers, parents and the athletes
themselves to maintain go od communication and follow guidelines to ensure all
participants are fit for play."</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
NATA
hosted the 4th Youth Sports Safety Summit earlier this year with the support of
the Youth Sports Safety Alliance, now composed of 109 organizations committed
to keeping athletes safe, and launched the first-ever National Action Plan for
Sports Safety and Student Athlete Bill of Rights (<a href="http://www.youthsportssafetyalliance.org/">www.youthsportssafetyalliance.org</a>).
"Each athlete is entitled to appropriate care, prevention and treatment of
injuries should they occur," says Cooper.</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
NATA
offers several sports safety tips to keep athletes in the game:</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
1.
<b>Make sure the athlete is physically and mentally in the game:</b> Parents,
with assistance from coaches, should determine whether their children are
physically and psychologically conditioned for the sport/activity level they're
playing. Do not push children into something they do not want to do.
Additionally, if an athlete has been injured and is returning to sport, it's
critical for him or her to have the right mind set and confidence to return to
play and avoid repeat injury.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
2.
<b>Get a pre-participation exam:</b> All athletes should have a
pre-participation exam to determine their readiness to play and uncover any
condition that may limit participation.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
3.
<b>Follow a team approach to care:</b> In the case of injury, find out who will
provide care and ask to review their credentials. Many schools and sports teams
rely on athletic trainers or parents with medical and first aid training and
certification to keep kids safe. Yet less than half of high schools have access
to athletic trainers.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
4.
<b>Beat the heat:</b> Acclimatize athletes to warm weather activities over a
14-day period. The goal is to increase exercise heat tolerance and enhance the
ability to exercise safely and effectively in warm and hot conditions. Should
heat illness occur, cool first and transport second: immediate cold water
immersion is critical to reducing the athlete's temperature rapidly. Determine
core body t emperature to best assess the athlete's condition.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
5.
<b>Use your head:</b> Athletes should be encouraged to speak up if they are
suffering any related symptoms (dizziness, loss of memory, fatigue).
Concussions must be carefully managed using follow up assessments of symptoms,
neurocognitive function and balance, prior to initiating a gradual return to
play. Should a more serious brain injury occur, the medical staff should be
prepared to transport the athlete to a facility, while ensuring adequate
ventilation and elevating the head to decrease intracranial pressure.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
6.
<b>Maintain Heart health:</b> Recognition is vital to treatment: sudden cardiac
arrest should be suspected in any athl ete who has collapsed and is
unresponsive. Public access to early defibrillation is essential: a goal of
less than 3-5 minutes from the time of collapse to delivery of the first shock
from an automated external defibrillator (AED) is strongly recommended. Most
schools now have AEDS. Ensure that the medical expert and other personnel know
where they are located, how to use them and that they are placed on sidelines
during competitions and games.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
7.
<b>Share an athlete's medical history:</b> Parents should complete an emergency
medical authorization form, providing parent contact information and permission
for emergency medical care for the student athlete. Check with your
school/league to obtain the form.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
8.
<b>Ensure equipment is in working order:</b> Make sure all equipment ranging
from field goals, basketball flooring, gymnastics apparatus and field turf are
in safe and working order. This also includes emergency medical equipment such
as spine boards, splint devices, AEDs (which should be checked once per month;
batteries and pads need consistent monitoring and replacing). All it takes is a
slip on a wet surface or twist of an ankle on an ungroomed field to lead to
lower extremity injuries, among others.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
9.
<b>Ascertain coaches' qualifications:</b> A background check should always be
performed on coaches and volunteers:</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
-
Coaches should have background and knowledge in the sport they are coaching.
They should be credentialed if that is a requirement in the state, conference
or league.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
-
Coaches should have cardiopulmonary resuscitation (CPR), AED and first aid
training.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
-
Coaches should strictly enforce the sports rules and have a plan for dealing
with emergencies.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
-
Ensure appropriate credentials for coaching from the respective sport governing
body.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
-
Coaches can also take an online course by visiting: <a href="http://www.nata.org/Sports-safety-for-youth-coaches-course">http://www.nata.org/Sports-safety-for-youth-coaches-course</a>
</div>
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<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
10.
<b>Check that locker rooms, gyms and shower surfaces are clean:</b> With the
advent of MRSA and related bacterial, viral and fungal skin infections reported
in recent years, it is critical to keep these surfaces routinely cleaned and
checked for germs. Athletes must be discouraged from sharing towels, athletic
gear, water bottles, disposable razors and hair clippers. All clothing and
equipment, including bags, should be laundered and/or disinfected on a daily
basis. </div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
11.
<b>Be smart about sickle cell trait:</b> All newborns are tested at birth for
this particular inherited condition and those results should be shared during a
pre-participation exam. Red blood cells can sickle during intense exertion,
blocking blood vessels and posing a grave risk for athletes with the sickle
cell trait. Screening and simple precautions may prevent deaths and help the
athlete with sickle cell trait thrive in his or her chosen sport. Know the
signs and symptoms (fatigue or shortness of breath) to differentiate this
condition from other causes of collapse.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
12.
<b>Ensure an emergency action plan is in place:</b> Every team should have a
written emergency action plan, reviewed by the athletic trainer or local
Emergency Medical Service. Individual assignments and emergency equipment and
supplies need to be included in the emergency action plan. If an athletic
trainer is not employed by the school or sport league, qualified individuals
need to be present to render care. Knowing that a school has prepared for
emergency will give parents peace of mind.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
13.
<b>Adopt a "Time Out" system: </b>Each health care team should take a
"Time Out" before athletic events to ensure emergency action plans
are reviewed and in place. Determine the role of each person; communication
coordination; presence of ambulance; designated hospital; test of all emergency
equipment; issues that could impact the plan such as weather or other
considerations.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
14.
<b>Build in recovery time:</b> Allow time for the body to rest and rejuvenate
in between practices, games and even seasons. "Recovery time is
essential," says Cooper. "Without rest and a change of motion and
activity, we put young athletes at risk of repetitive or chronic injury."</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
15.
<b>Breathe easier:</b> Athletes with asthma should be properly educated about
their condition, appropriate medications, use of inhaler equipment and how to
recognize "good or bad" breathing days to prevent exacerbations. A
warm up protocol may decrease the risk of asthma or reliance on medications.</div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="ize: 12.0pt;">16. <b>Stay smart about steroids:</b> Use of
anabolic-androgenic steroids can lead to a host of negative effects on the
health and well-being of athletes and non-athletes alike. Be aware of signs and
symptoms of misuse including: rapid body mass or increase in performance;
extreme muscular growth; abnormal or excessive acne, unexplained hypertension,
moodiness, aggression, depression or obsession with exercise and diet. Report
this immediately to the athletic trainer or other school medical professionals.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b>"It's
critical that all members of a school's athletic health care team, parents,
teachers and others involved in the care of the athlete have ongoing
communication to ensure a safe sports setting," says Cooper. "With
those protocols in place, athletes can enjoy the great spirit, competition, and
ac complishment that come from safe and fair play." </b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b>"And,
if your school is following the right protocols, enter it in the NATA Safe
School award program that recognizes schools implementing appropriate steps to
keep athletes safe. It is a win-win for students, the athletic health care team
and school at large."</b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b>For
more information on the award program, visit <a href="http://www.athletictrainers.org/">www.athletictrainers.org</a>.</b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b>About
NATA: National Athletic Trainers' Association (NATA) - Heal th Care for Life
& Sport</b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
Athletic
trainers are health care professionals who specialize in the prevention,
diagnosis, treatment and rehabilitation of injuries and sport-related
illnesses. They prevent and treat chronic musculoskeletal injuries from sports,
physical and occupational activity, and provide immediate care for acute
injuries. Athletic trainers offer a continuum of care that is unparalleled in
health care. The National Athletic Trainers' Association represents and
supports 35,000 members of the athletic training profession. Visit <a href="http://www.nata.org/">www.nata.org</a>. </div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-36975168394132678532013-05-15T14:23:00.000-07:002013-05-15T14:23:17.687-07:00Chest protectors may not prevent sports-related heart trauma<div class="storyHeadline5">
<h1 class="mainheadline">
Chest protectors may not prevent sports-related heart trauma</h1>
</div>
<time>
<div class="editDetailsv2">
Tuesday, May 14, 2013 Last updated: Tuesday May 14, 2013, 7:24 AM
</div>
</time>
<div class="storyauthorv2">
BY
<a href="http://www.northjersey.com/authors/?name=KARA%20YORIO" target="_authors">KARA YORIO</a></div>
<div class="storyauthorv2" style="margin-top: 0px;">
STAFF WRITER</div>
<div class="bylienv2">
The Record</div>
<div class="pagesv2" id="pagesv2shown" style="visibility: visible;">
<a href="http://www.blogger.com/null" style="font-weight: normal;">Print</a> |
<a href="http://www.blogger.com/null" style="font-weight: normal;">E-mail</a>
</div>
<div id="storybody" style="color: #2c2c2c; font-size: 16px; line-height: 24px; margin-top: 34px;">
Once it was apparent that 8-year-old Ian
McGreevy was doing "great" after being struck in the chest by a ball
during a youth baseball game last weekend, many North Jersey parents
focused on safety.<br />
<div class="storyboxholderv2" style="clear: both;">
<figure style="margin: 0px; padding: 0px;">
<div class="storyboxbodyv2" id="storymedia" style="margin-top: 15px;">
<a href="http://media.northjersey.com/images/0514F_shirtchestprotect_40p1.jpg" target="_largephoto" title="McDavid USA makes a shirt with built-in chest padding that sells for $39.99."><img alt="McDavid USA makes a shirt with built-in chest padding that sells for $39.99." height="232" name="McDavid USA makes a shirt with built-in chest padding that sells for $39.99." src="http://media.northjersey.com/images/300*232/0514F_shirtchestprotect_40p1.jpg" title="McDavid USA makes a shirt with built-in chest padding that sells for $39.99." width="300" /></a>
<div class="photographerv2">
KEVIN R. WEXLER/STAFF PHOTOGRAPHER </div>
<figcaption>
<div class="photocaptionv2">
McDavid USA makes a shirt with built-in chest padding that sells for $39.99. </div>
</figcaption>
</div>
</figure>
</div>
Ian's mother, Lisa McGreevy of <a href="http://www.northjersey.com/northvale">Northvale</a>, said Sunday that she will lobby for children to wear chest protectors on the field, similar to those worn by lacrosse players.<br />
While chest protectors could help with traumatic
injuries like broken bones and serious bruising, there is no evidence
that they protect against cardiac events caused by the trauma of being
hit in the chest.<br />
"If there is any evidence on that topic at all, it is
actually to the contrary," said Mike Oliver, executive director of
National Operating Committee on Standards for Athletic Equipment
(NOCSAE), an independent and non-profit standard-setting organization
trying to improve athletic safety through scientific research and the
creation of performance standards for protective equipment. "It's a real
difficult issue."<br />
The evidence goes against common sense.<br />
"Logically if there's a chest protector that would
prevent the transmission of the energy of that blunt trauma to be
transmitted to the chest and then to the heart then, theoretically, it
might prevent it," said Fuad Kiblawi, pediatric cardiologist at St.
Joseph's Children's Hospital in <a href="http://www.northjersey.com/paterson">Paterson</a>.<br />
However, none of the chest protectors on the market,
according to Kiblawi, have been proven to decrease the chance of
ventricular fibrillation, a problem with the heart's rhythm that will
cause victims to collapse within seconds and stop breathing.<br />
Kiblawi added it might be worth taking a chance that a
chest protector could slow down the impact to a speed that wouldn't
cause the medical chain reaction.<br />
"Chest protectors, they haven't been proven to help,
but there's no reason to assume it's impossible that they would have any
sort of benefit," he said.<br />
What happened Saturday to Ian McGreevy and the conversation about safety equipment that has followed isn't new.<br />
In 2010, 16-year-old <a href="http://www.northjersey.com/garfield">Garfield</a>
resident Thomas Adams was hit in the chest with a baseball during a
practice. He was wearing a catcher's chest protector at the time and
died.<br />
In 2006, <a href="http://www.northjersey.com/wayne">Wayne</a>'s
Steven Domalewski, was 12 when he was hit in the chest by a line drive.
He was left brain-damaged after his brain was denied oxygen.<br />
Thomas' death and Steven's disability were both
attributed to commotio cordis, ventricular fibrillation caused by blunt
trauma to the chest.<br />
Commotio cordis is the second highest cause of death in
athletes younger than 14, according to the American Academy of
Pediatrics (AAP). Children ages 5 to 14 may be uniquely vulnerable to
this blunt chest impact, the AAP said, because their chest walls are
more elastic and more easily compressed.<br />
It is unknown if commotio cordis caused Ian to stop
breathing, but descriptions of the event make it a possibility,
according to Kiblawi.<br />
A policy statement from the AAP's Council on Sports
Medicine and Fitness in 2012 said, "Although protective gear can be a
key preventive measure, it is not always effective. Research has shown
that even with protective gear, the fatality rate for commotio cordis is
alarmingly high at 90 percent."<br />
Beyond typical chest protectors worn by baseball and
softball catchers, as well as lacrosse and hockey players, there are
commercially available items like shirts with chest pads or plastic
"heart guards."<br />
Charlie Coleman, who owns Farrier Sporting Goods in <a href="http://www.northjersey.com/wyckoff">Wyckoff</a>, regularly sells a protective shirt that has a pad in the chest area.<br />
Coleman can date the uptick in sales to the Domalewski
tragedy. After that incident, there was a call by some to take aluminum
bats out of the youth games. Now, there is a discussion about chest
protectors. There is no single, simple answer, however.<br />
"Anything that would alter these variables might help,"
said Kiblawi. "The softness of the ball and compactness of the ball,
they're directly related to the incidence of commotio cordis. So softer,
more like safety balls for kids may help. Still, there's no studies
showing that."<br />
One issue with certain types of protective shirts,
according to Oliver, is that the padding is typically in the center of
the chest and not the "cardiac silhouette" where impact causes commotio
cordis.<br />
Preparation is as important as possible prevention,
according to Gregg Heinzmann, director of the Youth Sports Council at
Rutgers University.<br />
"We should do all we can to minimize the risk of injury
in young athletes," Heinzmann said. "And we should include this injury
among the considerations. The appropriate strategy on the part of the
leagues and the recreation departments that administer youth sports is
to train the coaches and re-evaluate their emergency action plans so
that in the event of a serious injury, emergency medical personnel can
arrive on the scene as quickly as possible."<br />
The Youth Sports Council recommendation is that there
is one person at every game and practice with the skill and training to
effectively administer CPR and use an automated external defibrillator.<br />
Death is preventable, the AAP policy notes, by
immediate response of CPR and the use of an automated external
defibrillator. It was the quick-thinking CPR of Maureen Renaghan that
Lisa McGreevy credits with saving her son Ian's life.<br />
Email: yoriok@northjersey.com<br />
</div>
la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-20206011628679348742013-05-04T05:07:00.001-07:002013-05-04T05:07:01.873-07:00Defibrillator used to revive parent at Lakeland High School<strong> May 2, 2013</strong><br />
<strong> Coach, trainer, cop save life of man at Lakeland </strong><br />
<br />
<strong>YORKTOWN</strong> — A father in his mid-50s who collapsed on
his way to watch his daughter’s softball game at Lakeland High School on
Wednesday was brought back to life by a trainer and a coach using a
portable defibrillator.<br />
<span class="pp"></span>The father, who
had lost consciousness and wasn’t breathing when Lakeland athletic
trainer Amanda Tiffany and John Jay High School lacrosse coach Patrick
Chiappetta rushed to his aid, was recovering in stable condition
Thursday at Westchester Medical Center in Valhalla, school officials
said.<span class="aa"></span><br />
<span class="pp"></span>“There is a
family that is not mourning the loss of a father today because people
acted, and that is heavy stuff,” said Chiappetta’s boss, Christian
McCarthy, the athletic director for the Katonah-Lewisboro school
district. “Their decision to act saved a life, and there is no greater
classroom lesson than that.”<span class="aa"></span><br />
<span class="pp"></span>It
was the second such life-saving act in northern Westchester this week
tied to the use of an automated external defibrillator, or AED.<span class="aa"></span><br />
<span class="pp"></span>It
was one of those busy after-school weekdays in spring with multiple
games in progress across a single campus, and scores of spectators,
players and school officials on the scene.<span class="aa"></span><br />
<span class="pp"></span>The
man was headed to the junior varsity softball game and was just outside
the fence surrounding the school’s all-purpose athletic field when
everything stopped. MaryLu Fiori, a Lakeland field monitor, saw the man
collapse and yelled for help.<span class="aa"></span><br />
<span class="pp"></span>“I
knew my AED was at the end of the bench so I grabbed it and I ran as
fast as I could across the field,” said Chiappetta, 29, John Jay’s
junior varsity girls lacrosse coach and a father of two. “He was in bad
shape, on his back, so I hopped the fence and the Lakeland trainer
already had his shirt pulled up.”<span class="aa"></span><br />
<span class="pp"></span>“I opened my AED and the trainer put the pads on him and pushed the button,” Chiappetta said .<span class="aa"></span><br />
<span class="pp"></span>The
device can scan for irregular heartbeats and deliver a shock to restore
a healthy rhythm. It was enough to bring the man, whom officials
declined to identify, back to consciousness.<span class="aa"></span><br />
<span class="pp"></span>As
Tiffany and Chiappetta were at the man’s side, Yorktown police Officer
Larry Paniccia, the school’s resource officer, called 911 and joined in
the lifesaving efforts. Mohegan Lake ambulance responded and took him
from the scene.<span class="aa"></span><br />
<span class="pp"></span>“He
is awake and speaking with his family,” Lakeland High School Principal
Lorrie Yurish said Thursday. “The family is so grateful.”<span class="aa"></span><br />
<span class="pp"></span>The
incident came four days after a Lewisboro police officer used an AED
to revive a man who collapsed after mowing his lawn in Vista.<span class="aa"></span><br />
<span class="pp"></span>Other AED success stories this year have come from schools and sporting events.<span class="aa"></span><br />
<span class="pp"></span>On
April 7 at Suffern Middle School, a trainer and a coach revived a
72-year-old South Salem referee after he collapsed during a lacrosse
tournament. On April 1 at Lakeland’s Copper Beech Middle School,
teacher’s aide Janice Mills collapsed in a classroom and was revived by
staff members.<span class="aa"></span><br />
<span class="pp"></span>On
March 31 in Yonkers, 21-year-old Jim Murphy was revived by Yonkers
police after he collapsed playing an Easter Sunday basketball game.la12http://www.blogger.com/profile/06346386619100547839noreply@blogger.comtag:blogger.com,1999:blog-2233902435889276777.post-31872532178320782342013-05-02T18:13:00.001-07:002013-05-02T18:13:43.744-07:00Researchers determine where best to place defibrillators<br /> Researchers determine where best to place defibrillators<br />
May 2, 2013 in Cardiology TORONTO:<br />
Prompt use of an automated external defibrillator, or AED, can greatly increase the survival rates of people who suffer a cardiac arrest. And MIE Professor Tim Chan, working with Dr. Laurie Morrison at St. Michael's Hospital, has developed a formula to determine where best to place these costly but life-saving devices.In a paper published in Circulation, Chan and Morrison note that publicly registered AEDs in Toronto are not in the best locations to help victims of cardiac arrest. In fact, less than one in four of all cardiac arrests had an AED close by (within 100 metres is the required distance). The average distance to the nearest AED was closer to 300 meters. Current guidelines suggest areas associated with the highest risk of cardiac arrest should be targeted for AED deployment, after they have been placed in obvious high-traffic areas such as transportation hubs or major sports venues. But it's not clear how to identify these "cardiac hot spots." Timothy Chan and Morrison looked at the locations of all 1,310 public cardiac arrests in Toronto between December 2005 and July 2010 and the locations of all 1,699 AEDS registered with Toronto Emergency Medical Services. They found that 304 cardiac arrests occurred within 100 metres of at least one AED (23 per cent).One hundred metres was chosen as the yardstick because it's the approximate distance a bystander could transport an AED in a 1.5-minute walk—the maximum recommended by the American Heart Association. There were almost three times as many public cardiac arrests in downtown Toronto as the rest of the city – 3.5 per square kilometer per year vs. 0.4 – said Chan. Almost half of all downtown cardiac arrests were near an existing AED compared to only 17 per cent those outside of downtown. Chan then looked at the 1,006 cardiac arrests that did not take place near an AED. He said that be placing AEDs in the top 30 cardiac arrest "hot spots," they could have covered an additional 112 historical arrests, or 32 per cent. The average distance between a cardiac arrest and an AED would fall to 262 metres from 281 meters. "Reducing the distance a bystander needs to travel by 20 metres or up to 40 meters in a roundtrip has the potential to save close to half a minute in response time," said Morrison, an emergency medicine specialist who heads Rescu, the largest research team of its kind in Canada dedicated to improving out-of-hospital resuscitation. "If you have a cardiac arrest, every second counts. Out-of-hospital cardiac arrest kills an estimated 300,000 people in North America annually," she said. "Only five per cent of people who suffer out-of-hospital cardiac arrest survive to be discharged from hospital. The probability of survival decreases up to 10 per cent with each minute of delay between collapse and treatment." Chan said his mathematical model is more accurate than a population-based model, in which AEDs are placed in areas of densest daytime population. "Our optimization model should be viewed as a decision-support tool to help prioritize placement of AEDs, make efficient use of public, donor or private funds directed toward public access defibrillator programs, and potentially maximize survival on the basis of geographic patterns of cardiac arrest," said Chan. "Because AEDs are expensive and cannot be placed everywhere, our model allows a decision-maker to quantify the trade-off between the number of AEDS deployed and coverage."<br /><br />Read more at: http://medicalxpress.com/news/2013-05-defibrillators.html#jCp <br />
<div style="left: -99999px; position: absolute;">
May 2, 2013 in Cardiology
TORONTO: Prompt use of an automated external defibrillator, or AED, can
greatly increase the survival rates of people who suffer a cardiac
arrest. And MIE Professor Tim Chan, working with Dr. Laurie Morrison at
St. Michael's Hospital, has developed a formula to determine where best
to place these costly but life-saving devices.
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In a paper published in Circulation, Chan and Morrison note that
publicly registered AEDs in Toronto are not in the best locations to
help victims of cardiac arrest. In fact, less than one in four of all
cardiac arrests had an AED close by (within 100 metres is the required
distance). The average distance to the nearest AED was closer to 300
meters.
Current guidelines suggest areas associated with the highest risk of
cardiac arrest should be targeted for AED deployment, after they have
been placed in obvious high-traffic areas such as transportation hubs or
major sports venues. But it's not clear how to identify these "cardiac
hot spots."
Timothy Chan and Morrison looked at the locations of all 1,310 public
cardiac arrests in Toronto between December 2005 and July 2010 and the
locations of all 1,699 AEDS registered with Toronto Emergency Medical
Services.
They found that 304 cardiac arrests occurred within 100 metres of at
least one AED (23 per cent).One hundred metres was chosen as the
yardstick because it's the approximate distance a bystander could
transport an AED in a 1.5-minute walk—the maximum recommended by the
American Heart Association.
There were almost three times as many public cardiac arrests in downtown
Toronto as the rest of the city – 3.5 per square kilometer per year vs.
0.4 – said Chan. Almost half of all downtown cardiac arrests were near
an existing AED compared to only 17 per cent those outside of downtown.
Chan then looked at the 1,006 cardiac arrests that did not take place
near an AED. He said that be placing AEDs in the top 30 cardiac arrest
"hot spots," they could have covered an additional 112 historical
arrests, or 32 per cent. The average distance between a cardiac arrest
and an AED would fall to 262 metres from 281 meters.
"Reducing the distance a bystander needs to travel by 20 metres or up to
40 meters in a roundtrip has the potential to save close to half a
minute in response time," said Morrison, an emergency medicine
specialist who heads Rescu, the largest research team of its kind in
Canada dedicated to improving out-of-hospital resuscitation.
"If you have a cardiac arrest, every second counts. Out-of-hospital
cardiac arrest kills an estimated 300,000 people in North America
annually," she said. "Only five per cent of people who suffer
out-of-hospital cardiac arrest survive to be discharged from hospital.
The probability of survival decreases up to 10 per cent with each minute
of delay between collapse and treatment."
Chan said his mathematical model is more accurate than a
population-based model, in which AEDs are placed in areas of densest
daytime population.
"Our optimization model should be viewed as a decision-support tool to
help prioritize placement of AEDs, make efficient use of public, donor
or private funds directed toward public access defibrillator programs,
and potentially maximize survival on the basis of geographic patterns of
cardiac arrest," said Chan. "Because AEDs are expensive and cannot be
placed everywhere, our model allows a decision-maker to quantify the
trade-off between the number of AEDS deployed and coverage."<br /><br /> Read more at: <a href="http://medicalxpress.com/news/2013-05-defibrillators.html#jCp">http://medicalxpress.com/news/2013-05-defibrillators.html#jCp</a></div>
<div style="left: -99999px; position: absolute;">
May 2, 2013 in Cardiology
TORONTO: Prompt use of an automated external defibrillator, or AED, can
greatly increase the survival rates of people who suffer a cardiac
arrest. And MIE Professor Tim Chan, working with Dr. Laurie Morrison at
St. Michael's Hospital, has developed a formula to determine where best
to place these costly but life-saving devices.
Ads by Google
Dry Eye Clinical Trials - Now Running in Your Area Learn About the
DryEye Study Now! - www.HealthCentral.com/DryEyeStudy
2013 Best Skin Tighteners - An Unbiased Review List of The Top
Performing Skin Tighteners In 2013 - www.SkinCareSearch.com/FaceLifting
In a paper published in Circulation, Chan and Morrison note that
publicly registered AEDs in Toronto are not in the best locations to
help victims of cardiac arrest. In fact, less than one in four of all
cardiac arrests had an AED close by (within 100 metres is the required
distance). The average distance to the nearest AED was closer to 300
meters.
Current guidelines suggest areas associated with the highest risk of
cardiac arrest should be targeted for AED deployment, after they have
been placed in obvious high-traffic areas such as transportation hubs or
major sports venues. But it's not clear how to identify these "cardiac
hot spots."
Timothy Chan and Morrison looked at the locations of all 1,310 public
cardiac arrests in Toronto between December 2005 and July 2010 and the
locations of all 1,699 AEDS registered with Toronto Emergency Medical
Services.
They found that 304 cardiac arrests occurred within 100 metres of at
least one AED (23 per cent).One hundred metres was chosen as the
yardstick because it's the approximate distance a bystander could
transport an AED in a 1.5-minute walk—the maximum recommended by the
American Heart Association.
There were almost three times as many public cardiac arrests in downtown
Toronto as the rest of the city – 3.5 per square kilometer per year vs.
0.4 – said Chan. Almost half of all downtown cardiac arrests were near
an existing AED compared to only 17 per cent those outside of downtown.
Chan then looked at the 1,006 cardiac arrests that did not take place
near an AED. He said that be placing AEDs in the top 30 cardiac arrest
"hot spots," they could have covered an additional 112 historical
arrests, or 32 per cent. The average distance between a cardiac arrest
and an AED would fall to 262 metres from 281 meters.
"Reducing the distance a bystander needs to travel by 20 metres or up to
40 meters in a roundtrip has the potential to save close to half a
minute in response time," said Morrison, an emergency medicine
specialist who heads Rescu, the largest research team of its kind in
Canada dedicated to improving out-of-hospital resuscitation.
"If you have a cardiac arrest, every second counts. Out-of-hospital
cardiac arrest kills an estimated 300,000 people in North America
annually," she said. "Only five per cent of people who suffer
out-of-hospital cardiac arrest survive to be discharged from hospital.
The probability of survival decreases up to 10 per cent with each minute
of delay between collapse and treatment."
Chan said his mathematical model is more accurate than a
population-based model, in which AEDs are placed in areas of densest
daytime population.
"Our optimization model should be viewed as a decision-support tool to
help prioritize placement of AEDs, make efficient use of public, donor
or private funds directed toward public access defibrillator programs,
and potentially maximize survival on the basis of geographic patterns of
cardiac arrest," said Chan. "Because AEDs are expensive and cannot be
placed everywhere, our model allows a decision-maker to quantify the
trade-off between the number of AEDS deployed and coverage."<br /><br /> Read more at: <a href="http://medicalxpress.com/news/2013-05-defibrillators.html#jCp">http://medicalxpress.com/news/2013-05-defibrillators.html#jCp</a><div style="left: -99999px; position: absolute;">
May 2, 2013 in Cardiology
TORONTO: Prompt use of an automated external defibrillator, or AED, can
greatly increase the survival rates of people who suffer a cardiac
arrest. And MIE Professor Tim Chan, working with Dr. Laurie Morrison at
St. Michael's Hospital, has developed a formula to determine where best
to place these costly but life-saving devices.
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In a paper published in Circulation, Chan and Morrison note that
publicly registered AEDs in Toronto are not in the best locations to
help victims of cardiac arrest. In fact, less than one in four of all
cardiac arrests had an AED close by (within 100 metres is the required
distance). The average distance to the nearest AED was closer to 300
meters.
Current guidelines suggest areas associated with the highest risk of
cardiac arrest should be targeted for AED deployment, after they have
been placed in obvious high-traffic areas such as transportation hubs or
major sports venues. But it's not clear how to identify these "cardiac
hot spots."
Timothy Chan and Morrison looked at the locations of all 1,310 public
cardiac arrests in Toronto between December 2005 and July 2010 and the
locations of all 1,699 AEDS registered with Toronto Emergency Medical
Services.
They found that 304 cardiac arrests occurred within 100 metres of at
least one AED (23 per cent).One hundred metres was chosen as the
yardstick because it's the approximate distance a bystander could
transport an AED in a 1.5-minute walk—the maximum recommended by the
American Heart Association.
There were almost three times as many public cardiac arrests in downtown
Toronto as the rest of the city – 3.5 per square kilometer per year vs.
0.4 – said Chan. Almost half of all downtown cardiac arrests were near
an existing AED compared to only 17 per cent those outside of downtown.
Chan then looked at the 1,006 cardiac arrests that did not take place
near an AED. He said that be placing AEDs in the top 30 cardiac arrest
"hot spots," they could have covered an additional 112 historical
arrests, or 32 per cent. The average distance between a cardiac arrest
and an AED would fall to 262 metres from 281 meters.
"Reducing the distance a bystander needs to travel by 20 metres or up to
40 meters in a roundtrip has the potential to save close to half a
minute in response time," said Morrison, an emergency medicine
specialist who heads Rescu, the largest research team of its kind in
Canada dedicated to improving out-of-hospital resuscitation.
"If you have a cardiac arrest, every second counts. Out-of-hospital
cardiac arrest kills an estimated 300,000 people in North America
annually," she said. "Only five per cent of people who suffer
out-of-hospital cardiac arrest survive to be discharged from hospital.
The probability of survival decreases up to 10 per cent with each minute
of delay between collapse and treatment."
Chan said his mathematical model is more accurate than a
population-based model, in which AEDs are placed in areas of densest
daytime population.
"Our optimization model should be viewed as a decision-support tool to
help prioritize placement of AEDs, make efficient use of public, donor
or private funds directed toward public access defibrillator programs,
and potentially maximize survival on the basis of geographic patterns of
cardiac arrest," said Chan. "Because AEDs are expensive and cannot be
placed everywhere, our model allows a decision-maker to quantify the
trade-off between the number of AEDS deployed and coverage."<br /><br /> Read more at: <a href="http://medicalxpress.com/news/2013-05-defibrillators.html#jCp">http://medicalxpress.com/news/2013-05-defibrillators.html#jCp</a></div>
</div>
<div style="left: -99999px; position: absolute;">
"Our optimization model
should be viewed as a decision-support tool to help prioritize placement
of AEDs, make efficient use of public, donor or private funds directed
toward public access defibrillator programs, and potentially maximize
survival on the basis of geographic patterns of cardiac arrest," said
Chan. "Because AEDs are expensive and cannot be placed everywhere, our
model allows a decision-maker to quantify the trade-off between the
number of AEDS deployed and coverage."<br /><br /> Read more at: <a href="http://medicalxpress.com/news/2013-05-defibrillators.html#jCp">http://medicalxpress.com/news/2013-05-defibrillators.html#jCp</a></div>
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